Individual
COURTENEY MACKUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
1 MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27103
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016-00695
NC
207P00000X
Emergency Medicine Physician
LP02614
RI
Other
Enumeration date
05/31/2012
Last updated
10/18/2022
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