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Individual

DR. JOSEPH LEMUEL MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33403
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13730
BCBS
NC
05
891073K
NC
01
P00185138
RR MEDICARE
Enumeration date
07/21/2006
Last updated
03/15/2019
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