Individual
DR. LESLIE GRACE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4009
(336) 765-8620
Mailing address
2901 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4009
(336) 283-1311
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
173763
NC
Other
Enumeration date
06/15/2011
Last updated
07/21/2022
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