Individual
CLEWELL YOUNGER FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 W 1ST ST FL 3, WINSTON SALEM, NC 27104-4220
(336) 716-4479
Mailing address
6013 FOREST TRAILS DR, WINSTON SALEM, NC 27107-3692
(336) 970-7171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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