Individual
CARL JOSEPH WESTCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9701654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069F
BCBS
—
05
—
1805960000
—
WV
01
—
20052039
RR MEDICARE
—
01
—
2243524A
MEDICARE
—
01
—
25339
PARTNERS
—
01
—
5551571
AETNA
—
05
—
7310170
—
VA
01
—
74318
MEDCOST
—
05
—
891069F
—
NC
Enumeration date
12/13/2005
Last updated
10/24/2019
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