Blue Gems Aba Nc Llc

Specialty details in registry · Winston Salem, NC

Call (336) 827-3384 Directions

At a glance

615 Saint George Square Ct, Winston Salem, NC 27103-1356

NPPES record updated Jun 5, 2026. Public records can lag behind changes at a practice.

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Practice location

615 Saint George Square Ct
Winston Salem, NC 27103-1356
Professional details: NPI, taxonomy & registry record
NPI1861061699
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
103K00000X
Enumeration date
Jun 24, 2021
Record updated
Jun 5, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

Specialty details in registry

106S00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

615 Saint George Square Ct
Winston Salem, NC 27103-1356
Phone
(336) 827-3384
Fax
(617) 340-3371
Mailing address
615 SAINT GEORGE SQUARE CT

WINSTON SALEM, NC 271031356
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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