Individual
WINSTON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5630 FOXCREST DR, MINT HILL, NC 28227-9365
(704) 650-2820
Mailing address
5630 FOXCREST DR, MINT HILL, NC 28227-9365
(704) 650-2820
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
29217959
NC
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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