Organization
BROOKVIEW WOMENS CENTER PLLC
Active
Other names
CAROLINA GYNECOLOGIC ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD EDWARD PITTAWAY SR. M.D. (OWNER)
(336) 765-1464
Entity
Organization
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, SUITE 105, WINSTON SALEM, NC 27103-5661
(336) 765-1464
(336) 760-2492
Mailing address
3333 BROOKVIEW HILLS BLVD, SUITE 105, WINSTON SALEM, NC 27103-5661
(336) 765-1464
(336) 760-2492
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248J
BLUE CROSS BLUE SHIELD
NC
01
—
458
PARTNERS NATIONAL HEALTH
—
01
—
74-07470
UNITED HEALTHCARE
—
01
—
81281
MEDCOST
—
05
—
8967838
—
NC
Enumeration date
08/25/2006
Last updated
10/20/2010
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