Individual
DR. JONATHAN D WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 N CLEVELAND AVE, WINSTON SALEM, NC 27101-4334
(336) 725-8874
(336) 725-8879
Mailing address
495 N CLEVELAND AVE, WINSTON SALEM, NC 27101-4334
(336) 725-8874
(336) 725-8879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86665
BLUE CROSS BLUE SHIELD
NC
05
—
8986665
—
NC
Enumeration date
08/29/2006
Last updated
04/20/2017
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