Individual
MARIAN RAYGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4490
Mailing address
300 20TH AVE N, STE 403, NASHVILLE, TN 37203-5180
(601) 750-1174
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64061
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
08/20/2021
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