Individual
DOUGLAS RAY CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6029
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
278214
NC
363L00000X
Nurse Practitioner
Primary
5017035
NC
363LA2100X
Acute Care Nurse Practitioner
5017035
NC
Other
Enumeration date
09/08/2022
Last updated
12/21/2022
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