Individual
OLIVIA FUKUI
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) 716-0423
(336) 716-5537
Mailing address
150 PETERS CREEK PKWY APT 522, WINSTON SALEM, NC 27101-3692
(412) 780-6237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025-00372
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
09/30/2025
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