Individual
DR. NICHON L GRUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, FMC, DEPT OF PATHOLOGY, WINSTON SALEM, NC 27103-3013
(336) 718-5856
(336) 718-9259
Mailing address
3333 SILAS CREEK PKWY, FMC, DEPT OF PATHOLOGY, WINSTON SALEM, NC 27103-3013
(336) 718-5856
(336) 718-9259
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55245
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A81931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903698
—
NC
Enumeration date
02/28/2006
Last updated
03/28/2024
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