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Contact Information

TIMOTHY PETERS, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY PETERS · (Male)

NPI Number 1750478889
Status Active
Credentials MD
Entity Individual
Enumeration date 10/09/2006
Last updated 01/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2007-00114
  • TN License # MD31615
  • NC Medicaid 5906322
  • SC Medicaid Q00114
  • WV Medicaid 3810008320
  • Other 7093512 AETNA
  • Other 145YK BCBS
  • Other 196290 MEDCOST
  • Other 810655 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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