Individual
CHARLES EMORY MCCALL
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
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
13178
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27728
MEDCOST
NC
05
—
3004801000
—
WV
01
—
5074
PARTNERS
NC
01
—
55655
BCBS
NC
05
—
6026575
—
VA
01
—
7589339
AETNA
—
05
—
8955655
—
NC
05
—
Q13178
—
SC
Enumeration date
12/13/2005
Last updated
05/14/2008
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