Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Winston-Salem State University

Organization Family Medicine Physician · NPI 1851713374

Winston-Salem State University is a Family Medicine Physician in Winston Salem, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

601 S Martin Luther King Jr Dr A.h Ray Bldg Rm 244
Winston Salem, NC 27110-0001
Phone: (336) 750-3301
Fax: (336) 750-3303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1851713374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Philadelphia — Director · (336) 750-3274
Other names Wellness Ctr. Student Blue
NPI enumeratedJanuary 17, 2014
Last updated in NPPESJanuary 17, 2014
Mailing address601 S Martin Luther King Jr Dr, A.H. Ray Bldg Rm. 244, Winston Salem, NC 27110-0001

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