Individual
DOUGLAS E. WINESETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A140, GREENVILLE, SC 29615-3593
(864) 454-5125
(864) 454-5131
Mailing address
7 INDEPENDENCE PT, SUITE 140, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6195
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
23568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620159
CIGNA ID
SC
01
—
370022612
RR MEDICARE
SC
01
—
5215654
AETNA ID
SC
01
—
576007863094
BCBS OF SC ID
SC
05
—
T78911
—
SC
Enumeration date
06/01/2006
Last updated
12/15/2009
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