Individual
MARK CAUTHEN WILLINGHAM
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) 716-7595
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7595
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
9701197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069E
BCBS
—
05
—
2003688000
—
WV
01
—
220032284
RR MEDICARE
—
01
—
2279938A
MEDICARE
—
01
—
36474
PARTNERS
—
05
—
6605231
—
VA
01
—
7364331
AETNA
—
01
—
74320
MEDCOST
—
05
—
891069E
—
NC
05
—
Q01199
—
SC
Enumeration date
11/16/2005
Last updated
08/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us