Jerry Tee Todd M.D.

NPI 1699041863 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1699041863
Gender Male
Enumeration Date 03/31/2012
Last Updated 03/31/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
MEDICAL CENTER BLVD
WINSTON SALEM NC, 27157-0001, US
Phone (336) 716-5222
Fax
Business Location
831 RIVERTREE LN
WINSTON SALEM NC, 27103-6966, US
Phone (770) 634-4215
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jerry Tee Todd M.D. NPI is 1699041863, taxonomy code is 390200000X Jerry Tee Todd M.D. physically located at Medical Center Blvd, Winston Salem NC, 27157-0001. NPI Number Jerry Tee Todd M.D. has the Individual type.

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1699041863 NPI number is provided on an as is basis without warranty of any kind. 1699041863 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Tee Todd M.D. are for informational purposes only.