Individual
MR. WILLIAM SLOAN FISHER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-3361
(336) 768-4131
Mailing address
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-3361
(336) 768-4131
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000672
UNITED HEALTHCARE
NC
01
—
23745
MEDCOST
NC
01
—
32210
BLUE CROSS BLUE SHIELD
NC
01
—
390
PARTNERS
NC
01
—
6540171
VIRGINIA MEDICAID
VA
05
—
8932210
—
NC
Enumeration date
01/20/2006
Last updated
07/09/2007
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