MEDICARE: WINSTON PARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	009-00389	NC

General Provider Information

NPI Number	:	1447334354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINSTON PARRIS M.D.

Provider Business Mailing Address
First Line	:	400 CRUTCHFIELD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-2771
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 CRUTCHFIELD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-2771
Country	:	US
Telephone Number	:	919-471-5474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	12/12/2012

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