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Cedar Creek Family Medicine Pllc
Primary Care Clinic/Center in Winston Salem, North Carolina
NPI 1952579807

Cedar Creek Family Medicine Pllc is a Primary Care Clinic/Center based in Winston Salem, NC and is specialized in Primary Care. Cedar Creek Family Medicine Pllc practices in Winston Salem, NC. The NPI Number for Cedar Creek Family Medicine Pllc is 1952579807 and holds a License No. 88463 (North Carolina).

The current practice location address for Cedar Creek Family Medicine Pllc is 11492 Old Us Highway 52, Winston Salem, NC and can be reached out via phone at 336-784-0505 and via fax at 336-784-0531.

Location: 11492 Old Us Highway 52, Winston Salem, NC, 27107-9174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952579807
Provider Name
Cedar Creek Family Medicine Pllc
Credential
Provider Entity Type
Organization
Address
11492 Old Us Highway 52, Winston Salem, NC, 27107-9174
Phone Number
336-784-0505
Fax Number
336-784-0531
Provider Enumeration Date
02/13/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014U9 01 OH BLUE CROSS BLUE SHIELD
89014U9 05 NC
institution
Provider Business Practice Location Address Details
Address
11492 Old Us Highway 52
City
Winston Salem
State
North Carolina
Zip
27107-9497
Phone Number
336-784-0505
Fax Number
336-784-0531
person
Provider Business Mailing Address Details
Address
11492 Old Us Highway 52
City
Winston Salem
State
North Carolina
Zip
27107-9497
Phone Number
336-784-0505
Fax Number
336-784-0531
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
88463 (North Carolina)
Definition
Definition to come...
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