NPI 1164892980

Twin City Boxing & Fitness Club

Organisation Case Management Agency Winston Salem, NC

Practice location

Address: 1316 Winfield Dr, Winston Salem, NC 27105-1947
Phone: (336) 391-6123
Fax: (336) 896-1729

Authorised official

Name: Carlette V Ewell
Title: Owner
Phone: (336) 391-6123

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in North Carolina →

Registry record

NPI: 1164892980
Entity type: Organization
NPI issued: 6 Oct 2015
Record last updated: 6 Oct 2015

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.