Club Haven Family Practice PA
Club Haven Family Practice PA is a Family Medicine Physician in Winston Salem, North Carolina. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2801 Lyndhurst AveWinston Salem, NC 27103-4109
Phone: (336) 768-9575
Fax: (336) 774-1737
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1922323948 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Hatley — Practice Manager · (336) 768-9575 |
| NPI enumerated | April 1, 2010 |
| Last updated in NPPES | April 30, 2015 |
| Mailing address | 2801 Lyndhurst Ave, Winston Salem, NC 27103-4109 |
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