Individual
DAVID MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3098 HEALY DR, WINSTON SALEM, NC 27103-1432
(336) 245-8754
Mailing address
3098 HEALY DR, WINSTON SALEM, NC 27103-1432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16852
NC
Other
Enumeration date
02/28/2017
Last updated
09/21/2017
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