Individual
WILLIAM ANTHONY BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1713 BRICE ST, GREENSBORO, NC 27403-1640
(336) 617-6486
(336) 617-6486
Mailing address
1713 BRICE ST, GREENSBORO, NC 27403-1640
(336) 617-6486
(336) 617-6486
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6600949
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600949
—
NC
Enumeration date
10/15/2008
Last updated
10/15/2008
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