Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 200100108 | NC |
N | 207PE0004X | Emergency Medical Services | 200100108 | NC |
NPI | 1003890492 |
---|---|
Provider Name | James Elbert Winslow III |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 19/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13012 | BCBS (01) | |
2005269000 | (05) | WV |
7837341 | AETNA (01) | |
800681 | PARTNERS (01) | |
8913012 | (05) | NC |
9999914 | (05) | VA |
C6009 | MEDCOST (01) | |
H59250 | (02) | |
P00009557 | RR MEDICARE (01) | |
Q00108 | (05) | SC |