Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 200000822 | NC |
NPI | 1134105307 |
---|---|
Provider Name | Cherrie Dawn Welch |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10002311 | (05) | VA |
1339R | BCBS (01) | NC |
2005080000 | (05) | WV |
7652644 | AETNA (01) | NC |
802878 | PARTNERS (01) | NC |
891339R | (05) | NC |
C6268 | MEDCOST (01) | NC |
H88208 | (02) |