Pembroke Nash III
Student in an Organized Health Care Education/Training Program in Winston Salem, NC. Individual provider (NPI-1).
NPI number1063264356
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1063264356
- Entity type
- Individual (NPI-1)
- Name
- Pembroke Nash III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2024
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
One Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2011
Mailing address
One Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2011
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