Individual
MARY CLAIRE OBRIEN
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
207P00000X
Emergency Medicine Physician
Primary
009801427
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
009801427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13346
BCBS
NC
05
—
2004963000
—
WV
01
—
7661638
AETNA
NC
01
—
802686
PARTNERS
NC
05
—
8913346
—
NC
05
—
9999922
—
VA
01
—
C5232
MEDCOST
NC
05
—
Q01427
—
SC
Enumeration date
12/13/2005
Last updated
08/11/2010
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