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Individual

DOUGLAS G RIRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34526
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
34526
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12164
PARTNERS
01
50086402
RR MEDICARE
01
5613169
AETNA
05
5700227000
WV
05
5704995
VA
01
63977
MEDCOST
01
71874
BCBS
05
8971874
NC
05
Q34526
SC
Enumeration date
12/13/2005
Last updated
09/08/2017
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