Organization
WINSTON-SALEM WOMANCARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W MIYAZAKI M.D. (PRESIDENT)
(336) 765-5470
Entity
Organization
Contact information
Practice address
114 CHARLOIS BLVD, WINSTON-SALEM, NC 27103-1522
(336) 765-5470
(336) 499-5428
Mailing address
114 CHARLOIS BLVD, WINSTON-SALEM, NC 27103-1522
(336) 765-5470
(336) 499-5428
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890293B
—
NC
Enumeration date
06/11/2006
Last updated
08/22/2020
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