Individual
NYREE KIMBERLY THORNE
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
207RG0100X
Gastroenterology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145JM
BCBS
—
01
—
199213
MEDCOST
—
01
—
2072171
MEDICARE
NC
05
—
3810009021
—
WV
05
—
5906696
—
NC
01
—
810606
PARTNERS
—
01
—
9858057
AETNA
—
05
—
Q0057H
—
SC
Enumeration date
05/24/2007
Last updated
12/11/2007
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