Individual
WILLIAM I MARIENCHECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3937
(336) 716-2255
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9800626
NC
207RP1001X
Pulmonary Disease Physician
MD34221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3851229
—
TN
Enumeration date
03/09/2006
Last updated
08/09/2019
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