Individual
PIR SAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 238-4152
(336) 238-4150
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 238-4152
(336) 238-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0093362
MD
208M00000X
Hospitalist Physician
Primary
2025-01485
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2019
Last updated
09/12/2025
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