Individual
STEVEN CHARLES EASTLACK
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) 716-3245
(336) 716-0567
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13865872-1205
UT
207L00000X
Anesthesiology Physician
Primary
2025-01804
NC
Other
Enumeration date
04/28/2020
Last updated
02/02/2026
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