Organization
MARK H NELSON MD PA
Active
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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