Individual
GARY GEORGE POEHLING
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) 716-2255
(336) 716-8018
Mailing address
MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20748
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200043934
RR MEDICARE
—
05
—
207688000
—
WV
01
—
2694
PARTNERS
—
01
—
29380
MEDCOST
—
01
—
4286882
AETNA
—
01
—
68324
BCBS
—
05
—
7310633
—
VA
05
—
8968324
—
NC
05
—
Q20748
—
SC
Enumeration date
11/30/2005
Last updated
08/02/2019
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