Provider Demographics
NPI:1639569932
Name:GUILFORD COUNTY
Entity Type:Organization
Organization Name:GUILFORD COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PESAYANAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-641-7802
Mailing Address - Street 1:5008 WRANGLER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-6443
Mailing Address - Country:US
Mailing Address - Phone:336-722-6477
Mailing Address - Fax:
Practice Address - Street 1:501 E GREEN DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-6707
Practice Address - Country:US
Practice Address - Phone:336-641-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC128795251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare