Individual
RICHARD ANTHONY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021-02783
NC
208M00000X
Hospitalist Physician
Primary
2021-02783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UUIW1673510201
STUDENT BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/13/2017
Last updated
04/08/2026
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