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Individual

DR. CHRISTA R PANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
799 HICKORY TREE RD, WINSTON-SALEM, NC 27127-9139
(336) 764-3304
(336) 764-1018
Mailing address
799 HICKORY TREE RD, WINSTON SALEM, NC 27127-9243
(336) 764-3304
(336) 764-1018

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200300860
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105243
UNITED HEALTHCARE
NC
01
138UA
BCBS NUMBER
NC
01
2127507
MAMSI NUMBER
NC
05
5900099
NC
01
7185519
CIGNA HEALTHCARE NUMBER
NC
01
7801618
AETNA NUMBER
NC
01
805412
PARTNER MEDICARE CHOICE
NC
01
D7949
MEDCOST NUMBER
NC
Enumeration date
02/22/2006
Last updated
11/03/2011
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