Individual
MARY MOREHEAD HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1351 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 718-7777
(336) 718-7744
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200201470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137FT
—
NC
Enumeration date
01/12/2007
Last updated
03/07/2023
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