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Individual

DR. SEAN M PLOOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5624
NE
2085R0202X
Diagnostic Radiology Physician
Primary
2009-01695
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009-01695
STATE - NORTH CAROLINA
NC
01
5624
TEMP. EDUCATIONAL PERMIT
NE
Enumeration date
06/25/2007
Last updated
11/18/2016
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