Bruce Douglas Walley in Winston Salem - Thoracic Surgery (cardiothoracic Vascular Surgery)
Bruce Douglas Walley - NPI 1891771879
Bruce Douglas Walley is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Winston Salem, North Carolina. Bruce Douglas Walley practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Bruce Douglas Walley is 1891771879. The last update date is 2008-09-11.
Bruce Douglas Walley's current location address is 4622 Country Club Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367689535 and fax number 3367684155. The mailing address for Bruce Douglas Walley is 4622 Country Club Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Walley |
|---|---|
| Address | 4622 Country Club Rd, Winston Salem, North Carolina |
| Phone Number | 3367689535 |
| Fax Number | 3367684155 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891771879 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2008-09-11 |
Provider Mailing Address Detail
| Address | 4622 Country Club Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271043770 |
| Phone Number | 3367689535 |
| Fax Number | 3367684155 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 19421 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8985520 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Douglas Walley by the Centers for Medicare & Medicaid Services?
The Bruce Douglas Walley has been assigned the NPI (National Provider Identifier) 1891771879. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bruce Douglas Walley?
The Bruce Douglas Walley is situated at 4622 Country Club Rd, in the city of Winston Salem, state of NC, with the zip code 271043770.
What is the Bruce Douglas Walley's area of specialization and corresponding taxonomy classification?
The Bruce Douglas Walley's specialty field is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their specialties.
When did Bruce Douglas Walley receive its 1891771879 assignment?
The Bruce Douglas Walley was assigned its 1891771879 on 2005-12-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Bruce Douglas Walley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Douglas Walley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-11.