Individual
DR. JAMES C O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005-00091
NC
207P00000X
Emergency Medicine Physician
ME92949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386R
BCBS
NC
05
—
1922026053
—
VA
05
—
2747251-00
—
FL
05
—
3810009586
—
WV
05
—
5900576
—
NC
01
—
7064737
AETNA
—
01
—
811580
PARTNERS
NC
05
—
Q0009A
—
SC
Enumeration date
07/17/2006
Last updated
08/11/2010
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