Individual
DAVID MARTIN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207P00000X
Emergency Medicine Physician
Primary
29090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177619000
—
WV
01
—
20157
PARTNERS
NC
01
—
23003
BCBS
NC
01
—
4233955
AETNA
NC
05
—
5868033
—
VA
05
—
7923003
—
NC
01
—
B0396
MEDCOST
NC
05
—
Q29090
—
SC
Enumeration date
11/28/2005
Last updated
06/28/2010
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