Individual
WILLIAM MARCUS OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 N CHURCH ST, SUITE 201, GREENSBORO, NC 27401-1439
(336) 378-0713
(336) 273-9060
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200400933
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346353315
—
VA
01
—
145JA
BCBS
NC
01
—
199228
MEDCOST
NC
05
—
3810009236
—
WV
05
—
5904785
—
NC
01
—
7301538
CIGNA
NC
01
—
7409757
AETNA
—
01
—
810602
PARTNERS
NC
05
—
Q0093E
—
SC
Enumeration date
08/16/2006
Last updated
04/22/2021
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