Individual
DR. JENNIFER LEIGH ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 714-6481
Mailing address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 714-6481
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
2004-01316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148M5
BCBS
NC
05
—
5909439
—
NC
Enumeration date
05/18/2007
Last updated
12/09/2013
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