Individual
CAROLINE GOLDEN GRANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2805 LYNDHURST AVE, WINSTON SALEM, NC 27103-4109
(336) 659-0076
(336) 659-0272
Mailing address
2805 LYNDHURST AVE, WINSTON SALEM, NC 27103-4109
(336) 659-0076
(336) 659-0272
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5004469
NC
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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