DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN K SOUTHARD JR., M.D.

Active

Specialist · WINSTON-SALEM, NC

Registration Details

NPI Number
1649267535
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2005 (20.567763273722 yrs)
Last Updated
Apr 8, 2009
Licenses
18576 (NC)
18576 (NC)

Practice Information

Address
1345B WESTGATE CENTER DR
WINSTON-SALEM, NC, 271032934
Browse NC providers · Browse ZIP 27103
Phone
3367681280
Fax
3367608443
Primary Specialty
Specialist
174400000X
Additional Specialty
Dermatology

Other Specialist Providers in WINSTON-SALEM, NC

Name Credential NPI
DR. MALCOLM MCDOUGAL BROWN M.D. 1902866940
MRS. MELODY HAGNER PT 1124072368
MRS. MERRILEE S ROJAS OTR 1447204664
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.