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Contact Information

DAVID J OTT, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for DAVID J OTT · (Male)

NPI # 1699759829
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 10/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 18131
  • NC Medicaid 8964374
  • SC Medicaid Q18131
  • VA Medicaid 7252277
  • WV Medicaid 186354000
  • NC Other 4477973 AETNA
  • NC Other 64374 BCBS
  • NC Other 64185 MEDCOST
  • NC Other 5568 PARTNERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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