Individual
DR. JUAN-CARLOS MONGUILOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
(336) 478-2541
Mailing address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
(336) 478-2541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174F
BCBS
NC
01
—
188390
MEDCOST
NC
01
—
2670503
UHC
NC
05
—
891174F
—
NC
Enumeration date
06/21/2006
Last updated
12/18/2012
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