Individual
DR. MARIA-DORINA CRUZ SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9300588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8975331
—
NC
Enumeration date
02/15/2006
Last updated
02/08/2011
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