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Organization

SPECTRUM MEDICAL GROUP PA

Active
Other names
Salem Chest Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY FERRELL (ADMINISTRATOR)
(336) 765-0383
Entity
Organization

Contact information

Practice address
3001 LYNDHURST AVE, WINSTON-SALEM, NC 27103-4007
(336) 765-0383
(336) 760-6918
Mailing address
3001 LYNDHURST AVE, WINSTON-SALEM, NC 27103-4007
(336) 765-0383
(336) 760-6918

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02258
BCBS
NC
05
8902258
NC
Enumeration date
11/17/2005
Last updated
04/11/2023
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