Individual
DAVID GERARDO GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103
(336) 718-9080
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9501252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-09729
UHC
—
01
—
35633
BC/BS
NC
05
—
8935633
—
NC
Enumeration date
04/05/2006
Last updated
10/25/2020
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