Individual
DR. JERALD LUKE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
Mailing address
513 EAGLES NEST CT, WINSTON-SALEM, NC 27127-6787
(336) 784-8285
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9701660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891340E
—
NC
Enumeration date
05/01/2006
Last updated
08/07/2024
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