Individual
KAREN R GERANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SHEPHERD ST, WINSTON-SALEM, NC 27103-1628
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9901181
NC
207VG0400X
Gynecology Physician
Primary
9901181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1229R
BCBS
—
05
—
2007174000
—
WV
01
—
33335
PARTNERS
—
01
—
5872506
AETNA
—
05
—
6213995
—
VA
05
—
891229R
—
NC
01
—
D2986
MEDCOST
—
05
—
Q0118A
—
SC
Enumeration date
11/22/2005
Last updated
06/29/2010
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