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John K. Southard, Jr., M.d., P.a.
Specialist in Winston Salem, North Carolina
NPI 1437233962

John K. Southard, Jr., M.d., P.a. is a Specialist based in Winston Salem, NC. John K. Southard, Jr., M.d., P.a. practices in Winston Salem, NC. The NPI Number for John K. Southard, Jr., M.d., P.a. is 1437233962 and holds a License No. 18576 (North Carolina).

The current practice location address for John K. Southard, Jr., M.d., P.a. is 1345 Westgate Center Dr, Winston Salem, NC and can be reached out via phone at 336-768-1280 and via fax at 336-760-8443.

Location: 1345 Westgate Center Dr, Winston Salem, NC, 27103-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437233962
Provider Name
John K. Southard, Jr., M.d., P.a.
Credential
Provider Entity Type
Organization
Address
1345 Westgate Center Dr, Winston Salem, NC, 27103-3040
Phone Number
336-768-1280
Fax Number
336-760-8443
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89013U8 05 NC
institution
Provider Business Practice Location Address Details
Address
1345 Westgate Center Dr
City
Winston Salem
State
North Carolina
Zip
27103-3040
Phone Number
336-768-1280
Fax Number
336-760-8443
person
Provider Business Mailing Address Details
Address
1345 Westgate Center Dr
City
Winston Salem
State
North Carolina
Zip
27103-3040
Phone Number
336-768-1280
Fax Number
336-760-8443
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
18576 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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