Organization
CHANDA A. GRIESSEL M.D., PLLC
Active
Organization
CHANDA A. GRIESSEL M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDA ANNETTE GRIESSEL M.D. (MANAGER)
(336) 760-2240
Entity
Organization
Contact information
Practice address
150 KIMEL PARK DR, SUITE 200, WINSTON SALEM, NC 27103-6992
(336) 760-2240
(336) 760-2239
Mailing address
150 KIMEL PARK DR, SUITE 200, WINSTON SALEM, NC 27103-6992
(336) 760-2240
(336) 760-2239
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200301236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950669
—
NC
Enumeration date
12/07/2007
Last updated
06/28/2012
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