Individual
CAROLINE CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
28152
NC
2085R0202X
Diagnostic Radiology Physician
28152
NC
2085R0204X
Vascular & Interventional Radiology Physician
28152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10659
PARTNERS
NC
05
—
209451000
—
WV
01
—
22342
BCBS
NC
01
—
4665715
AETNA
NC
01
—
64174
MEDCOST
NC
05
—
7202008
—
VA
05
—
8922342
—
NC
05
—
Q28152
—
SC
Enumeration date
12/01/2005
Last updated
10/08/2010
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