Organization
MDFAMILY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY SANDERS (CHIEF OPERATIONS OFFICER)
(704) 527-6322
Entity
Organization
Contact information
Practice address
138 S CHERRY ST, WINSTON SALEM, NC 27101-5272
(704) 527-6322
Mailing address
4530 PARK RD STE 200, CHARLOTTE, NC 28209-3790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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