Individual
GLORIAN MARI ROMAN-ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
GERIATRIC CLINIC-STICHT CENTER MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 713-8250
(336) 713-8252
Mailing address
GERIATRIC CLINIC-STICHT CENTER MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 713-8250
(336) 713-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3606
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
226765
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2014
Last updated
01/19/2018
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