Dr Charles Wayne Plummer, MD | |
530 N Elam Ave, Suite C, Greensboro, NC 27403-1153 | |
(336) 285-7853 | |
Not Available |
Full Name | Dr Charles Wayne Plummer |
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Gender | Male |
Speciality | Anesthesiology |
Location | 530 N Elam Ave, Greensboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285709691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 24982 (North Carolina) | Primary |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619206133 PECOS PAC ID: 3678602802 Enrollment ID: O20100719000361 |
Entity Name | Restoration Medical Clinics Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174068837 PECOS PAC ID: 7911284880 Enrollment ID: O20170502000522 |
Mailing Address | Practice Location Address |
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Dr Charles Wayne Plummer, MD 8606 Yvonne Ct, Oak Ridge, NC 27310-0150 Ph: (336) 870-5084 | Dr Charles Wayne Plummer, MD 530 N Elam Ave, Suite C, Greensboro, NC 27403-1153 Ph: (336) 285-7853 |
Freeman R Jackson Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Green Valley Road, Suite 304, Greensboro, NC 27408 Phone: 336-282-4840 | |
Mary Jennette Judd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Green Valley Rd Ste 304, Greensboro, NC 27408 Phone: 336-282-4840 Fax: 336-282-4660 | |
Alexander F Fortune, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Dr. David A. Crews, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Kevin D Ossey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4840 | |
Dr. John Russum Germeroth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 N Elam Ave, Greensboro, NC 27403 Phone: 336-282-4840 | |
Stephen B. Schuster, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 |