Individual
DR. MARK DAVID WINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
204 FAIR OAKS LN, WINSTON SALEM, NC 27127-3178
(336) 248-8402
(336) 224-2172
Mailing address
204 FAIR OAKS LN, WINSTON SALEM, NC 27127-3178
(336) 248-8402
(336) 893-9511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08940
BCBS
—
01
—
08947
BCBS
—
01
—
10143
PARTNERS
—
05
—
8908947
—
NC
Enumeration date
08/04/2006
Last updated
05/01/2020
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