Individual
DR. LYNN BIVINS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103
(336) 774-9000
(336) 774-9012
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38887
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11245
BLUE CROSS
—
01
—
399488
MAMSI
—
01
—
6876678004
CIGNA
—
05
—
8911245
—
NC
01
—
C6627
MEDCOST
—
Enumeration date
10/26/2005
Last updated
08/16/2023
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