Organization
CENTRAL PIEDMONT RETINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRIOTT M.D. (CEO)
(336) 602-2801
Entity
Organization
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, SUITE 201, WINSTON SALEM, NC 27103-5661
(336) 602-2801
(336) 602-2804
Mailing address
3333 BROOKVIEW HILLS BLVD, SUITE 201, WINSTON SALEM, NC 27103-5661
(336) 602-2801
(336) 602-2804
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28868
NC
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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