Individual
DR. SARAH ELIZABETH CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1016
(336) 716-2255
Mailing address
660 S EUCLID AVE, CB 8131, SAINT LOUIS, MO 63110-1010
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2015010880
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2020-02779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285955229
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/14/2010
Last updated
08/14/2020
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