Individual
EVELYN YOUNG ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
9800177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066V
BCBS
—
05
—
891066V
—
NC
Enumeration date
12/20/2005
Last updated
10/08/2010
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