Individual
DOUGLAS LEE METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 WESTBROOK PLAZA DR, SUITE 200, WINSTON SALEM, NC 27103-1355
(336) 277-0361
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-0361
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205830734
—
VA
01
—
58734
BLUE CROSS ID
NC
05
—
8958734
—
NC
Enumeration date
06/13/2005
Last updated
12/27/2016
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