Individual
DR. BRISTOL ROUSE WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704-2143
(919) 477-6900
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055Q
BLUECROSS BLUESHIELD
NC
01
—
35473
BLUE MEDICARE
NC
05
—
891055Q
—
NC
01
—
P00444630
RAILROAD MEDICARE
NC
Enumeration date
06/30/2005
Last updated
11/08/2022
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