NPI 1073214797

Passport Health

Organisation Public Health & General Preventive Medicine Physician Winston-Salem, NC

Practice location

Address: 3000 Bethesda Place STE 101, Winston-Salem, NC 27103
Phone: (877) 358-8648
Fax: (877) 877-6875
Mailing address: 668 N 44th Street STE 210w, Phoenix, AZ 85008

Authorised official

Name: Victoria Sowards
Title: Director Clinical Compliance
Phone: (480) 646-9028

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in North Carolina →

Registry record

NPI: 1073214797
Entity type: Organization
NPI issued: 10 Mar 2023
Record last updated: 10 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.