| NPI | 1912198672 |
|---|---|
| Doing Business As | WINSTON-SALEM HEALTHCARE (CAPITATION PLAN) |
| Entity Type | Organization |
| Authorized Contact | HEAVENNY BRADSHAW Enrollment Coordinator 336-679-2661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-08-14 |