| New-lite Living Choices Tunstall Marvin Gen Ptr | |
|
3634 Vest Mill Rd Winston Salem NC 27103-2910 | |
| (704) 547-1900 | |
| Not Available |
| Full Name | New-lite Living Choices Tunstall Marvin Gen Ptr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3634 Vest Mill Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Stephanie Foltz Cahoon (BILLING SPECIALIST) |
| Authorized Official Contact | 7049068893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New-lite Living Choices Tunstall Marvin Gen Ptr 416 Mccullough Dr Suite 125 Charlotte NC 28262-4385 Ph: (704) 547-1900 | New-lite Living Choices Tunstall Marvin Gen Ptr 3634 Vest Mill Rd Winston Salem NC 27103-2910 Ph: (704) 547-1900 |
| NPI Number | 1114052123 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114052123 | NPI | - | NPPES |
| 8300407 | Medicaid | NC | |
| 8300407H | Medicaid | NC | |
| 8300407G | Medicaid | NC |
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