Petty, William Mccandless

Petty, William Mccandless is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Petty, William Mccandless can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston-Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2006-00960 North Carolina

Profile Details

NPI number 1841345501
LBN Legal business name Petty, William Mccandless
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 18th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841345501 NPPES
North Carolina MEDICAID 5905804
North Carolina Other 806776
North Carolina Other P00416726
North Carolina Other 212133
North Carolina MEDICAID Q0059L
North Carolina MEDICAID 10186579
North Carolina Other 140AP
North Carolina MEDICAID 3810002778
North Carolina Other 7391773

Popular Providers