Individual
MR. TIMOTHY STEWART MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1191
(336) 716-3069
Mailing address
4907 ROBDOT DR, OAK RIDGE, NC 27310-9207
(336) 643-0343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
158877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051873
—
NC
Enumeration date
11/11/2005
Last updated
08/05/2009
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