Individual
WESLEY COVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
38031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000323000
—
WV
01
—
24756
BCBS
NC
01
—
2686
PARTNERS
NC
01
—
35426
MEDCOST
NC
01
—
4566823
AETNA
NC
05
—
6712550
—
VA
05
—
8924756
—
NC
05
—
906951
—
SC
Enumeration date
12/06/2005
Last updated
04/24/2008
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