Individual
NIKKI BRANDON CANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 258-0485
Mailing address
2918 FRATERNITY CHURCH RD, WINSTON SALEM, NC 27127-8774
(336) 258-0485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06981
NC
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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