Organization
WINSTON NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIE M. LOUVE MD (VICE PRESIDENT)
(336) 765-5553
Entity
Organization
Contact information
Practice address
1492 RYMCO DRIVE, WINSTON SALEM, NC 27103
(336) 765-5553
(336) 765-5359
Mailing address
1492 RYMCO DRIVE, WINSTON-SALEM, NC 27103
(336) 765-5553
(336) 765-5359
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327802
MEDICARE ID
NC
05
—
89013MX
—
NC
Enumeration date
08/08/2006
Last updated
07/30/2009
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