Individual
DR. JOHN C FARIS
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) 716-3202
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215993423
—
SC
05
—
1215993423
—
VA
05
—
3810022586
—
WV
05
—
8931147
—
NC
Enumeration date
04/25/2006
Last updated
04/24/2012
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