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Individual

MR. DAVID FRANCIS MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
3734 REYNOLDA RD, WINSTON SALEM, NC 27106-2240
(336) 922-1102
(336) 922-5012
Mailing address
3069 TRENWEST DR, SUITE 200, WINSTON SALEM, NC 27103-3211
(336) 922-1102
(336) 922-5012

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101184
NC
363AM0700X
Medical Physician Assistant
Primary
101184
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152UW
BCBS
NC
Enumeration date
02/02/2006
Last updated
12/01/2014
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