Organization
WINSTON SALEM DERMATOLOGY & SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE YUENGEL-BIENENFELD M.D. (OWNER)
(336) 774-8636
Entity
Organization
Contact information
Practice address
1400 WESTGATE CENTER DR., STE. 200, WINSTON-SALEM, NC 27103
(336) 774-8636
(336) 774-0265
Mailing address
1400 WESTGATE CENTER DR., STE. 200, WINSTON-SALEM, NC 27103
(336) 774-8636
(336) 774-0265
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9601111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017G0
BCBS OF NC
NC
Enumeration date
06/23/2006
Last updated
08/06/2014
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