Individual
ERFAAN GHIASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 VEST MILL CIR, WINSTON SALEM, NC 27103-2943
(336) 718-7800
(336) 718-7900
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-01183
NC
Other
Enumeration date
05/04/2019
Last updated
08/17/2022
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