Organization
SWYFT CME
Active
Organization
SWYFT CME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN PEDDLE WIDENER (OWNER)
(336) 414-1378
Entity
Organization
Contact information
Practice address
155 GRIZZLY TRL, WINSTON SALEM, NC 27107-8043
(336) 414-1378
Mailing address
155 GRIZZLY TRL, WINSTON SALEM, NC 27107-8043
(336) 414-1378
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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