Funderburk MD

NPI #1841460326 in Winston Salem, North Carolina

Provider Information

NPI Number: 1841460326
Entity Type: Organization
Organization Name: Funderburk MD
Primary Specialty: Internal Medicine
Enumeration Date: Mar 11, 2008
Last Updated: Mar 11, 2008

Practice Location

Address: 250 EXECUTIVE PARK BLVD
City: Winston Salem
State: North Carolina
ZIP Code: 27103-1534
Phone: (336) 659-9440

Authorized Official

Name: DR. AMON FUNDERBURK, MD
Title: OWNER
Phone: (336) 659-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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