Individual
DR. CARON LEE BOYD DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9901121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255321360
VIRGINIA MEDICAID
VA
01
—
12592
BLUE CROSS BLUE SHIELD
NC
01
—
1600168
UNITED HEALTHCARE
NC
01
—
300123092
RAILROAD MEDICARE
NC
01
—
42116
PARTNERS
NC
05
—
8912592
—
NC
01
—
A8188
MEDCOST
NC
Enumeration date
10/28/2005
Last updated
09/19/2024
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