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Contact Information

JOHN R EDMINISTER, MD
4618 COUNTRY CLUB RD
WINSTON-SALEM, NC27104-3520
 Phone: 336-716-3926
 Fax: 336-716-9258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOHN R EDMINISTER · (Male)

NPI Number 1265060404
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2020
Last updated 06/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 2024-01099
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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