Individual
DR. DEIRDRE R BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 774-9000
(336) 774-9012
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8972577
—
NC
Enumeration date
12/20/2007
Last updated
02/18/2013
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