| Gray Sappenfield Moulton | |
|
118 S Cherry St Ste D Kernersville NC 27284-2764 | |
| (336) 287-7353 | |
| Not Available |
| Full Name | Gray Sappenfield Moulton |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 S Cherry St Ste D, Kernersville, North Carolina |
| Authorized Official Name and Position | Leslie Alexander (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6157635546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Sappenfield Moulton 118 S Cherry St Ste D Kernersville NC 27284-2764 Ph: (336) 287-7353 | Gray Sappenfield Moulton 118 S Cherry St Ste D Kernersville NC 27284-2764 Ph: (336) 287-7353 |
| NPI Number | 1144885278 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144885278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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