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Individual

CAROLYN FERN KEYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4610 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-8244
Mailing address
4610 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 713-7251
(336) 713-0306

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09192
NC

Other

Enumeration date
06/24/2019
Last updated
11/01/2021
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