Appointment Page Appointment Form First Name:Last Name:Date of Birth:MMDDYYYYAddress:Street AddressCityState / Province / RegionZIP / Postal CodeEmail:Sex:MaleFemaleBest Daytime Phone:Alternate Phone:Provider:First AvailableMurat Akdamar, M.D.William C. Bray, M.D., AGAFMarcum Gillis, M.D.Ingrid Gonzalez, M.D.Christopher T. Jue, M.D.Charles P. Katopes, M.D.Nicholas A. Netherland, M.D.Tina Pakala, M.D.Aspara Prasad, M.D.Dhyan Rajan, M.D.David B. Ramsay, M.D.Victor W. Sears Jr, M.D.Frank Senatore, M.D.Ramya Vestal, M.D.Gregory A. Barton, P.A.-CAshley N. Long, P.A.-C K. Anthony Pleasant, P.A.-CMeredith Williams, P.A.-CElizabeth Greenwood, P.A.-CSpencer Martin, P.A.-CJustine Unruh, P.A.-CMargaret Bozdech, P.A.-CPreferred Location:Winston-SalemKernersvilleThomasvilleAdvanceKingPreferred Time of Day:First AvailableMorningAfternoonPreferred Day of Week:First AvailableMondayTuesdayWednesdayThursdayFridayHow Did You Hear About Us:Family/FriendTelevision CommercialSearched OnlineSocial MediaOther