Individual
JENNIFER LYNN GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD 8TH FLOOR JANEWAY TOWER, WINSTON SALEM, NC 27157-0001
(363) 713-8250
(339) 713-8252
Mailing address
1 MEDICAL CENTER BLVD 8TH FLOOR JANEWAY TOWER, WINSTON SALEM, NC 27157-0001
(363) 713-8250
(336) 713-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208776
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2015-01623
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208776
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
208776
NC
Other
Enumeration date
07/14/2009
Last updated
11/19/2020
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