Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 15983 | NC |
NPI | 1780668160 |
---|---|
Provider Name | William Frederick Mcguirt |
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 | 14/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186303000 | (05) | WV |
27875 | MEDCOST (01) | NC |
4670 | PARTNERS (01) | NC |
5250082 | AETNA (01) | |
56750 | BCBS (01) | NC |
6570500 | (05) | VA |
8956750 | (05) | NC |
C85431 | (02) | |
Q15983 | (05) | SC |