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NPI Provider: 1619974177
Contact Name: Conner Casey
Position: Administrator
Phone: (336) 744-2837
Foundation Health System Information:
Foundation Health System organization have npi 1619974177, taxonomy code is 314000000X with license number is NH042S in . This Business address located in 5755 Shattalon Dr, Winston-Salem, NC 27105 North Carolina. Get directions of Foundation Health System.
Practice Location
Address: 5755 Shattalon Dr, Winston-Salem, NC 27105
Phone: (336) 767-2750
Business Location
Address: 5755 Shattalon Dr, Winston-Salem, NC 27105
Phone: (336) 767-2750
Fax: (336) 767-3862
Taxonomy
Taxonomy Code: 314000000X
License Number: NH042S
License Number of State: NC
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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