Individual
DR. CHARLES FREDRIC REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(336) 245-2100
(336) 768-7782
Mailing address
140 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(336) 245-2100
(336) 768-7782
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209867B
MEDICARE
NC
01
—
2344759
MEDICARE, GROUP
NC
01
—
340019145
RR MEDICARE
NC
05
—
8971092
—
NC
Enumeration date
04/05/2006
Last updated
06/21/2013
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