Individual
RONALD GLENN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4228
(336) 716-2700
(336) 716-0382
Mailing address
MEDICAL CENTER BLVD DEPARTMENT OF MEDICINE, WINSTON SALEM, NC 27157-0001
(336) 716-2700
(336) 716-0382
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
14287R
LA
207RI0200X
Infectious Disease Physician
Primary
26613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1138631
—
LA
Enumeration date
07/24/2006
Last updated
05/31/2022
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