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Individual

JAMES BAYARD CARESS

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
(336) 716-9016
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9016

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
9600478
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19173
PARTNERS
NC
01
21113
BLUE CROSS
NC
05
6104312
VA
01
65770
MEDCOST
NC
01
7363815
AETNA
NC
05
8921113
NC
05
9801214000
WV
05
Q00478
SC
Enumeration date
12/20/2005
Last updated
11/12/2010
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