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Organization

MARK H NELSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK H NELSON MD (OWNER)
(336) 659-1528
Entity
Organization

Contact information

Practice address
750 HIGHLAND OAKS DR, SUITE 100, WINSTON SALEM, NC 27103-7105
(336) 659-1528
(336) 659-1980
Mailing address
750 HIGHLAND OAKS DR, SUITE 100, WINSTON SALEM, NC 27103-7105
(336) 659-1528
(336) 659-1980

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33109
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800585
PHP
01
10053
OPTICARE
NC
01
10236300
VOCATIONAL REHAB
01
1417953654
INDIVIDUAL NPI
NC
01
248246
BCBS VA
VA
01
2700323
AETNA
01
4557306002
CIGNA
01
4557306003
CIGNA
01
698
PARTNERS
NC
05
8962094
NC
01
DN9117
RR MEDICARE
NC
Enumeration date
02/06/2007
Last updated
09/11/2025
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