OrganizationActive
Genuwinepersonalcare
NPI 1508902701 · Exclusive Provider Organization · Winston Salem, NC
Provider details
- NPI number
- 1508902701
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Audrey Williams, Owner(336) 499-7113
Specialties & taxonomies
Managed Care Organizations
Practice location
3305 Stockton St
Winston Salem, NC 27127-5135
Phone: (336) 499-7113
Fax: (336) 650-1057
Approximate (ZIP-level) locationGet directions
Mailing address
3305 Stockton St
Winston Salem, NC 27127-5135
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2009-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.