Individual
DEREK AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MEDICAL CENETER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3601
Mailing address
MEDICAL CENETER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-00185
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/16/2013
Last updated
10/28/2020
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