Organization · Type 2 NPI
Divinity Wellness Center PLLC
Primary Care Clinic/Center · Winston Salem, NC
NPI number
1235845082
Active
Practice location
620 N Dunleith Ave
Winston Salem, NC 27101-3374
Fax (336) 245-4601
Mailing address
PO Box 286
Wallburg, NC 27373-0286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1235845082
Divinity Wellness Center PLLC's National Provider Identifier is 1235845082, issued on Jan 25, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 23, 2026.