Individual
DR. NIZAR DARWISH NOUREDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-2000
(336) 277-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
121755
NC
207RC0000X
Cardiovascular Disease Physician
2005-01959
NC
207RI0011X
Interventional Cardiology Physician
Primary
2005-01959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659334530
—
VA
Enumeration date
04/10/2006
Last updated
01/26/2024
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