Individual
DR. RYAN CORY MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1098
(336) 716-2700
(336) 716-3825
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2700
(336) 716-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C133582
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C133582
CA
207RI0200X
Infectious Disease Physician
Primary
2021-00323
NC
207RI0200X
Infectious Disease Physician
C133582
CA
Other
Enumeration date
01/23/2006
Last updated
07/12/2021
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