DR. John K Southard JR., M.D.

NPI #1649267535 in Winston-Salem, North Carolina

Provider Information

NPI Number: 1649267535
Entity Type: Individual
Name: DR. John K Southard JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Oct 5, 2005
Last Updated: Apr 8, 2009

Practice Location

Address: 1345B WESTGATE CENTER DR
City: Winston-Salem
State: North Carolina
ZIP Code: 27103-2934
Phone: (336) 768-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Dermatology	207N00000X

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