Individual
YULIA V RADIONCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
307 LINDSAY STREET, HIGH POINT, NC 27262-4827
(333) 802-2020
(336) 802-2021
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2007-01221
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908335
—
NC
01
—
P00605569
RAILROAD MEDICARE
NC
Enumeration date
05/07/2007
Last updated
08/05/2009
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