Individual
DR. JERRY L. PINKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 651-8100
(336) 651-8294
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 651-8100
(336) 651-8294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9300278
NC
208000000X
Pediatrics Physician
9300278
NC
208M00000X
Hospitalist Physician
Primary
9300278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2190707D
MEDICARE PTAN, INDIVIDUAL
NC
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
7967780
—
NC
Enumeration date
07/12/2005
Last updated
02/21/2017
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