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Carol Logan Vincent, MD
Pediatric Nephrology Physician in Winston Salem, North Carolina
NPI 1134489602

Carol Logan Vincent is a Pediatric Nephrology Physician based in Winston Salem, NC and is specialized in Pediatric Nephrology. Carol Logan Vincent practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Carol Logan Vincent is 1134489602 and holds a License No. 183249 (North Carolina).

The current practice location address for Carol Logan Vincent is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-713-4500 and via fax at 336-713-4501.

Location: Medical Center Blvd, Winston Salem, NC, 27103-6074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134489602
Provider Name
Carol Logan Vincent
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC, 27103-6074
Phone Number
336-713-4500
Fax Number
336-713-4501
Provider Enumeration Date
05/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-713-4500
Fax Number
336-713-4501
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-713-4500
Fax Number
336-713-4501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Nephrology
Taxonomy
2080P0210X
License No.
2016-01060 (North Carolina)
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
183249 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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