Individual
INGRID GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Mailing address
2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
(336) 768-6211
(336) 768-6869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2012-01039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920602
—
NC
Enumeration date
07/03/2007
Last updated
08/08/2024
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