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Individual

MICHELLE DOUB SWAIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2050

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007412
NC
363LP2300X
Primary Care Nurse Practitioner
231520
NC

Other

Enumeration date
01/02/2015
Last updated
08/07/2024
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