Individual
DR. PAUL DOUGLASS WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 S POPLAR ST, WINSTON SALEM, NC 27101-3755
(336) 893-8423
(336) 893-8426
Mailing address
127 S POPLAR ST, WINSTON SALEM, NC 27101-3755
(336) 893-8423
(336) 893-8426
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300482
UNITED HEALTHCARE
—
01
—
4521
PARTNERS
—
01
—
5975022
AETNA
—
01
—
6309395
CIGNA
—
01
—
89261
BCBS NC
NC
05
—
8989261
—
NC
01
—
E2611
MEDCOST
—
01
—
P00371225
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
07/24/2019
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