Organization
WHAP,PA
Active
Other names
Hawthorne OB/GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA COLEY PORTER (ADMINISTRATOR)
(336) 768-3632
Entity
Organization
Contact information
Practice address
1806 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4014
(336) 768-3632
(336) 768-4473
Mailing address
1806 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4014
(336) 768-3632
(336) 768-4473
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/12/2005
Last updated
08/22/2020
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