Organization
CARLO P. YUSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLO PILAPIL YUSON M.D. (PRESIDENT)
(336) 768-5131
Entity
Organization
Contact information
Practice address
1900 S HAWTHORNE RD, SUITE 358, WINSTON-SALEM, NC 27103-3913
(336) 768-5131
Mailing address
1900 S.HAWTHORNE ROAD, SUITE 358, WINSTON-SALEM, NC 27103
(336) 768-5131
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989885
—
NC
Enumeration date
04/26/2006
Last updated
11/06/2007
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