Individual
GILLIAN GRACE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(614) 769-4263
Mailing address
820 HUTTON ST, WINSTON SALEM, NC 27101-5714
(614) 769-4263
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
276327
NC
363L00000X
Nurse Practitioner
Primary
5013745
NC
Other
Enumeration date
10/26/2020
Last updated
11/18/2020
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