Individual
GRACE KELLI CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3600
(336) 716-6622
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14276
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/07/2024
Last updated
06/27/2024
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