Individual
PHILLIP ROY TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD DEPARTMENT OF ANESTHESIOLOGY, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
MEDICAL CENTER BLVD DEPT OF ANESTHESIOLOGY, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2012-00288
NC
Other
Enumeration date
05/19/2008
Last updated
03/26/2020
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