Wax, Tim Davis
Wax, Tim Davis is an individual health care provider with primary practice located at 105 W 4Th St Ste 600 , Winston Salem NC 27101-3816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wax, Tim Davis can be contacted via phone (336) 306-5777.Contact Information
Primary practice address
105 W 4Th St Ste 600
Winston Salem NC 27101-3816
Phone: (336) 306-5777
Fax: (336) 999-8889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 33929 | North Carolina |
Profile Details
| NPI number | 1881686178 |
|---|---|
| LBN Legal business name | Wax, Tim Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Oct 3rd, 2022 - about 3 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 | 1881686178 | NPPES |
| North Carolina | Other | 86073 | BCBS OF NC |
| North Carolina | MEDICAID | 8986073 | BCBS OF NC |
| North Carolina | Other | 220016574 | BCBS OF NC |
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