person
Anthony John Atala, MD
Urology Physician in Winston Salem, North Carolina
NPI 1235111832

Anthony John Atala is a Urology Physician based in Winston Salem, NC. Anthony John Atala practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Anthony John Atala is 1235111832 and holds a License No. 200400099 (North Carolina).

The current practice location address for Anthony John Atala is 140 Charlois Blvd, Winston Salem, NC and can be reached out via phone at 336-716-4131 and via fax at 336-713-0328. You can also correspond with Anthony John Atala through the mailing address at 100 KIMEL FOREST DR, WINSTON SALEM, NC - 27103-6074 (mailing address contact number: 336-716-0238).

Location: 140 Charlois Blvd, Winston Salem, NC, 27103-6074
person
Provider Profile Details
NPI Number
1235111832
Provider Name
Anthony John Atala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 Charlois Blvd, Winston Salem, NC, 27103-6074
Phone Number
336-716-4131
Fax Number
336-713-0328
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891359J 05 NC
1810835000 05 WV
1359J 01 BCBS
10078199 05 VA
7644683 01 AETNA
804009 01 PARTNERS
D2424 01 MEDCOST
institution
Provider Business Practice Location Address Details
Address
140 Charlois Blvd
City
State
Zip
27103-1522
Phone Number
336-716-4131
Fax Number
336-713-0328
person
Provider Business Mailing Address Details
Address
140 Charlois Blvd
City
State
Zip
27103-1522
Phone Number
336-716-4131
Fax Number
336-713-0328
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
200400099 (North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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