Cedar Creek Family Medicine Pllc in Winston Salem - Primary Care

Cedar Creek Family Medicine Pllc - NPI 1952579807

Cedar Creek Family Medicine Pllc is a Primary Care in Winston Salem, North Carolina. Cedar Creek Family Medicine Pllc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Cedar Creek Family Medicine Pllc is 1952579807. The last update date is 2008-02-13.

Cedar Creek Family Medicine Pllc's current location address is 5350 S Main St, Winston Salem, North Carolina. You can contact this provider via phone number 3367840505. The mailing address for Cedar Creek Family Medicine Pllc is 5350 S Main St, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cedar Creek Family Medicine Pllc
Address 5350 S Main St, Winston Salem, North Carolina
Phone Number 3367840505
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CO OWNER
Authorized Official Name Nifong R Kimberly
Credentials MD
Telephone Number 3367840505

NPI Number Detail

NPI Number 1952579807
Provider Enumeration Date 2008-02-13
Last Updated Date 2008-02-13

Provider Mailing Address Detail

Address 5350 S Main St
City Winston Salem
State North Carolina (NC)
Post Code 271079174
Phone Number 3367840505
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 88463
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89014U9 NC --
014U9 OH BLUE CROSS BLUE SHIELD

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FAQs about Cedar Creek Family Medicine Pllc

What is the unique identifier code issued to Cedar Creek Family Medicine Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Cedar Creek Family Medicine Pllc has been assigned the NPI (National Provider Identifier) 1952579807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Cedar Creek Family Medicine Pllc's facilities are situated?

The facilities of Cedar Creek Family Medicine Pllc are physically located at the following address: 5350 S Main St, Winston Salem, NC, 271079174.

What is Cedar Creek Family Medicine Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Cedar Creek Family Medicine Pllc is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952579807 to Cedar Creek Family Medicine Pllc?

The Centers for Medicare & Medicaid Services originally issued the 1952579807 to Cedar Creek Family Medicine Pllc on 2008-02-13.

When was the information regarding Cedar Creek Family Medicine Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Cedar Creek Family Medicine Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-13.

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