Individual
CAROLYN FRANCES PEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-9800
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235555
RR MEDICARE
—
05
—
3810001223
—
WV
01
—
4758
PARTNERS
—
01
—
5230310
AETNA
—
01
—
56695
MEDCOST
—
05
—
6071091
—
VA
01
—
66568
BCBS
—
05
—
8966568
—
NC
Enumeration date
12/13/2005
Last updated
03/13/2025
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