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CHRISTIAN ASHLEY JASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1920 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 716-4479
(336) 716-9126
Mailing address
WAKE FOREST FAMILY MEDICINE - PIEDMONT PLAZA, 1920 W. FIRST STREET, WINSTON SALEM, NC 27104-4220
(336) 716-4479
(336) 716-9126

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-04721
NC
207Q00000X
Family Medicine Physician
LL40979
SC

Other

Enumeration date
06/27/2017
Last updated
09/13/2023
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