Individual
JAMES HANEY TUNSTALL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
Mailing address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17003
NC
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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