CLUB HAVEN FAMILY PRACTICE
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1902869829- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2801 LYNDHURST AVE, WINSTON-SALEM, NC, 271034109
- Phone
- (336) 768-9575
- Fax
- (336) 774-1737
Specialties & Taxonomies
Specialist
Primary License: NC #40378/30659