NPI: 1104877356
Provider Name: FOUNDATION HEALTH SYSTEMS, CORP
Doing Business As: THE BREAST CLINIC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization
Specialization: Radiology, Mammography
Address:
2025 FRONTIS PLAZA BLVD
STE 300
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 718-4700
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FOUNDATION HEALTH SYSTEMS, CORP is a radiology and mammography clinic center in Winston-salem, NC. FOUNDATION HEALTH SYSTEMS, CORP NPI is 1104877356. The provider is registered as an organization entity type.
The provider Is Doing Business As The Breast Clinic.
The provider's business location address is:
2025 FRONTIS PLAZA BLVD
STE 300
WINSTON-SALEM, NC
ZIP 27103-663
Phone: (336) 718-4700
The provider's authorized official is Fred M. Hargett .
The authorized official title is Evp/cfo and has the following contact phone number (704) 384-5184.
The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/26/2010.