Organization
NORTH CAROLINA SPORTS MEDICINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLSTON STUBBS (MEMBER)
(336) 760-9411
Entity
Organization
Contact information
Practice address
185 KIMEL PARK DR, SUITE 201, WINSTON SALEM, NC 27103-6973
(336) 760-9411
Mailing address
185 KIMEL PARK DR, SUITE 201, WINSTON SALEM, NC 27103-6973
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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