Samuel Joseph Pullen in Winston Salem - Child & Adolescent Psychiatry
Samuel Joseph Pullen - NPI 1689874968
Samuel Joseph Pullen is a Child & Adolescent Psychiatry in Winston Salem, North Carolina. Samuel Joseph Pullen practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Samuel Joseph Pullen is 1689874968. The last update date is 2022-04-19.
Samuel Joseph Pullen's current location address is 140 Kimel Park Dr Ste 200, Winston Salem, North Carolina. You can contact this provider via phone number 3367187250 and fax number 3367187260. The mailing address for Samuel Joseph Pullen is 140 Kimel Park Dr Ste 200, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Joseph Pullen |
|---|---|
| Address | 140 Kimel Park Dr Ste 200, Winston Salem, North Carolina |
| Phone Number | 3367187250 |
| Fax Number | 3367187260 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1689874968 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2022-04-19 |
Provider Mailing Address Detail
| Address | 140 Kimel Park Dr Ste 200 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036185 |
| Phone Number | 3367187250 |
| Fax Number | 3367187260 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 2020-00356 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1689874968 | ID | -- |
Post Comment/ Review Below
What is the Samuel Joseph Pullen's unique identification number?
The Samuel Joseph Pullen has been assigned the NPI (National Provider Identifier) Number 1689874968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Samuel Joseph Pullen?
The Samuel Joseph Pullen is situated at 140 Kimel Park Dr Ste 200, in the city of Winston Salem, state of NC, with the zip code 271036185.
What is Samuel Joseph Pullen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Samuel Joseph Pullen is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date did the Samuel Joseph Pullen receive the assignment of its 1689874968 from the Centers for Medicare & Medicaid Services?
The Samuel Joseph Pullen was issued its 1689874968 by the Centers for Medicare & Medicaid Services on 2007-07-24.
When was the information pertaining to Samuel Joseph Pullen most recently updated or revised?
The details related to Samuel Joseph Pullen, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-19.