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Mr. Kenneth Scruggs Maxwell, MD
Otolaryngology Physician in Winston Salem, North Carolina
NPI 1801876768

Kenneth Scruggs Maxwell is a Otolaryngology Physician based in Winston Salem, NC. Kenneth Scruggs Maxwell practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Kenneth Scruggs Maxwell is 1801876768 and holds a License No. 9500660 (North Carolina).

The current practice location address for Kenneth Scruggs Maxwell is 110 Charlois Blvd, Winston Salem, NC and can be reached out via phone at 336-768-3361 and via fax at 336-768-4131.

Location: 110 Charlois Blvd, Winston Salem, NC, 27103-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801876768
Provider Name
Kenneth Scruggs Maxwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 Charlois Blvd, Winston Salem, NC, 27103-1522
Phone Number
336-768-3361
Fax Number
336-768-4131
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8955051 05 NC
040015067 01 NC RAILROAD MEDICARE
55051 01 NC BLUE CROSS BLUE SHIELD
54268 01 NC MEDCOST
6502393 01 NC VIRGINIA MEDICAID
9881 01 NC PARTNERS
1001971 01 NC UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
110 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-768-3361
Fax Number
336-768-4131
person
Provider Business Mailing Address Details
Address
110 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-768-3361
Fax Number
336-768-4131
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
9500660 (North Carolina)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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