Charles Randall Clinch DO

NPI 1053395566 - Family Medicine - 207Q00000X

NPI Details
NPI 1053395566
Gender Male
Enumeration Date 11/30/2005
Last Updated 03/25/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
WINSTON SALEM NC, 27157-0001, US
Phone (336) 716-2255
Business Location
PO BOX 344
WINSTON SALEM NC, 27102-0344, US
Phone (336) 716-2255
Taxonomy Code 207Q00000X
License State North Carolina
License Number 200000381
Remove 1053395566 NPI Number

According to our database, Charles Randall Clinch DO NPI is 1053395566, taxonomy code is 207Q00000X and license number is 200000381, license state is located at North Carolina. Charles Randall Clinch DO physically located at Medical Center Blvd, Winston Salem NC, 27157-0001. NPI Number Charles Randall Clinch DO has the Individual type.

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1053395566 NPI number is provided on an as is basis without warranty of any kind. 1053395566 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Randall Clinch DO are for informational purposes only.