JCSW Enterprises, LLC

Organization Active NPI Contractor · Winston Salem, NC

NPI 1912395385 · NPPES record last updated Jan 7, 2015

Key facts

NPI
1912395385
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
Legal business name
JCSW ENTERPRISES, LLC
Practice address
3405 Royal Highland Dr
Winston Salem, NC 27107-1880
Phone
(336) 918-9810
NPI assigned
Jan 7, 2015
Organization subpart
No

Authorized official

Name
Jeannene Gaddy
Title
Ceo
Phone
(336) 918-9810

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193200000X MULTI-SPECIALTY GROUP
171W00000X Yes

Addresses

Primary practice location

3405 Royal Highland Dr
Winston Salem, NC 27107-1880

Mailing address

3405 Royal Highland Dr
Winston Salem, NC 27107-1880
Phone (336) 918-9810

Other providers in Winston Salem, NC

All providers in Winston Salem, NC · Contractor in North Carolina

Sources for this page

Verify at the official NPI Registry.