Individual
DR. JAMES THOMAS MOTHERSHED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3057 TRENWEST DR, WINSTON SALEM, NC 27103-3220
(336) 765-0710
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-0710
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
52
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908126
—
NC
01
—
P00435206
RAILROAD MEDICARE
NC
Enumeration date
08/22/2006
Last updated
04/19/2016
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