Individual
MARIA CHIARA MARIENCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-3926
(336) 716-9258
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9800627
NC
207N00000X
Dermatology Physician
MD34201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659348746
—
NC
05
—
3848074
—
TN
Enumeration date
03/07/2006
Last updated
10/16/2024
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