Individual
ASHLEY GOODWIN FRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
802 GREEN VALLEY RD STE 210, GREENSBORO, NC 27408-7099
(336) 802-2536
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5012079
NC
Other
Enumeration date
08/01/2019
Last updated
05/15/2020
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