| Dr Charles Van Taft, MD | |
|
170 Kimel Park Dr, Winston-salem, NC 27103-6946 | |
| (336) 768-1270 | |
| (336) 765-6375 |
| Full Name | Dr Charles Van Taft |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 170 Kimel Park Dr, Winston-salem, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750349130 | NPI | - | NPPES |
| 89-81407 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 16025 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Van Taft, MD Po Box 25626, Winston-salem, NC 27114-5626 Ph: (336) 768-1270 | Dr Charles Van Taft, MD 170 Kimel Park Dr, Winston-salem, NC 27103-6946 Ph: (336) 768-1270 |
Dr. Alonzo Dixon Kornegay, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 704-323-2000 | |
Mr. William Lewis Craig Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 704-323-2000 | |
Dr. Gregg Edward Cregan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 704-323-2000 | |
Dr. Timothy Wade Mcgowen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 704-323-2000 | |
Dr. Gregory Grant Holthusen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 336-768-1270 Fax: 336-765-6375 | |
Dr. Charles Anderson Johnson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 336-768-1270 | |
Dr. Harlan Beaver Daubert, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 170 Kimel Park Dr, Winston-salem, NC 27103 Phone: 704-323-2000 |