Individual
DR. RAFAEL TENORIO CHAMIXAES CAVALCANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1417248089
NC
207RC0000X
Cardiovascular Disease Physician
2019-01155
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2019-01155
NC
Other
Enumeration date
04/29/2011
Last updated
06/26/2024
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