CLUB HAVEN FAMILY PRACTICE is a specialist in Winston-salem, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLUB HAVEN FAMILY PRACTICE NPI is 1902869829. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2801 LYNDHURST AVE
WINSTON-SALEM, NC
ZIP 27103-109
Phone: (336) 768-9575
Fax: (336) 774-1737
The provider's authorized official is Thomas L. Jolly .
The authorized official title is Owner and has the following contact phone number (336) 768-9575.
The enumeration date for this NPI number is 4/11/2006 and was last updated on 8/22/2020.