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Pec Ltc Pa
General Practice Physician in Winston Salem, North Carolina
NPI 1306519152

Pec Ltc Pa is a General Practice Physician based in Winston Salem, NC. Pec Ltc Pa practices in Winston Salem, NC. The NPI Number for Pec Ltc Pa is 1306519152 and holds a License No. (North Carolina).

The current practice location address for Pec Ltc Pa is 4692 Brownsboro Rd, Winston Salem, NC and can be reached out via phone at 336-251-1114 and via fax at 336-251-1117.

Location: 4692 Brownsboro Rd, Winston Salem, NC, 27106-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306519152
Provider Name
Pec Ltc Pa
Credential
Provider Entity Type
Organization
Address
4692 Brownsboro Rd, Winston Salem, NC, 27106-3410
Phone Number
336-251-1114
Fax Number
336-251-1117
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4692 Brownsboro Rd
City
Winston Salem
State
North Carolina
Zip
27106-3410
Phone Number
336-251-1114
Fax Number
336-251-1117
person
Provider Business Mailing Address Details
Address
4692 Brownsboro Rd
City
Winston Salem
State
North Carolina
Zip
27106-3410
Phone Number
336-251-1114
Fax Number
336-251-1117
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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