Organization
SENIOR CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN ERNEST SCHMID JR. MD (PRESIDENT)
(336) 777-1200
Entity
Organization
Contact information
Practice address
147 COLUMBINE DRIVE, WINSTON SALEM, NC 27106-3112
(336) 777-1200
(336) 777-0406
Mailing address
147 COLUMBINE DRIVE, WINSTON SALEM, NC 27106-3112
(336) 777-1200
(336) 777-0406
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
56910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3424721
STATE ID NO
NC
05
—
890258K
—
NC
Enumeration date
04/11/2007
Last updated
08/22/2020
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