Individual
DR. CHERYL BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9016
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9016
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
96-01566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1287A
BLUE CROSS
NC
01
—
202036
MEDCOST
NC
05
—
3810009866
—
WV
01
—
41944
PARTNERS
NC
01
—
7518307
AETNA
NC
05
—
891287A
—
NC
05
—
Q01566
—
SC
Enumeration date
10/19/2006
Last updated
11/12/2010
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