Peters, Timothy

Peters, Timothy is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Peters, Timothy can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston-Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD31615 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 2007-00114 North Carolina

Profile Details

NPI number 1750478889
LBN Legal business name Peters, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Jan 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750478889 NPPES
Other 196290 MEDCOST
Other 7093512 MEDCOST
Other 145YK MEDCOST
MEDICAID 3810008320 MEDCOST
MEDICAID Q00114 MEDCOST
MEDICAID 5906322 MEDCOST
Other 810655 MEDCOST

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