Individual
CHANDRIKA GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2012-01559
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
2012-01559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720221955
—
NC
01
—
1888W
BCBS
NC
01
—
283308
MEDCOST
NC
01
—
4826197
AETNA
NC
01
—
5156060
UNITED HEALTHCARE
NC
01
—
Q0155N
SC MEDICAID
SC
Enumeration date
04/17/2009
Last updated
09/05/2017
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