Organization · Type 2 NPI

Winston-Salem State University

Student Health Clinic/Center · Winston Salem, NC

NPI number 1851713374 Active

Practice location

601 S Martin Luther King Jr Dr, A.h. Ray Bldg Rm. 244
Winston Salem, NC 27110-0001

Fax (336) 750-3303

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Student Health Clinic/Center Primary 261QS1000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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About NPI 1851713374

Winston-Salem State University's National Provider Identifier is 1851713374, issued on Jan 17, 2014. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 17, 2014.