Russell, Wilson Glover
Russell, Wilson Glover is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston-Salem NC 27103-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Russell, Wilson Glover can be contacted via phone (336) 718-5856.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston-Salem NC 27103-3013
Phone: (336) 718-5856
Fax: (336) 718-9259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 24810 | North Carolina |
Profile Details
| NPI number | 1679549885 |
|---|---|
| LBN Legal business name | Russell, Wilson Glover |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Sep 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679549885 | NPPES |
| North Carolina | Other | 74049 | BCBS |
| North Carolina | MEDICAID | 8974049 | BCBS |
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