Healthcare Provider Details

I. General information

NPI: 1235661786
Provider Name (Legal Business Name): SARAH GRACE DOWNS MD, MPH, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH GRACE KING

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-5222
  • Fax:
Mailing address:
  • Phone: 336-716-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2021-01803
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: