Individual
LLEWELLYN FIIFI BORTS MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-3787
(336) 716-0222
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3787
(336) 716-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016-01538
NC
207R00000X
Internal Medicine Physician
Primary
2016-01538
NC
Other
Enumeration date
08/05/2013
Last updated
12/24/2024
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