Individual
DR. MARISSA HOWARD-MCNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007-01715
NC
2086X0206X
Surgical Oncology Physician
2007-01715
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147TE
BCBS
NC
05
—
1609974237
—
VA
01
—
204006
MEDCOST
NC
05
—
3810000135
—
WV
05
—
5908246
—
NC
01
—
811999
PARTNERS
NC
05
—
Q01715
—
SC
Enumeration date
09/20/2006
Last updated
11/12/2010
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