Individual
DOUGLAS WAYNE MIYAZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 HIGHLAND OAKS DR STE 100, WINSTON SALEM, NC 27103-7105
(367) 181-9703
(336) 774-8601
Mailing address
PO BOX 604136, CHARLOTTE, NC 28260-4136
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959811
—
NC
Enumeration date
06/09/2006
Last updated
12/16/2025
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