Carol Logan Vincent, MD Valid NPI

Individual provider · Pediatric Nephrology Physician · Winston Salem, NC

NPI

1134489602

Type

Individual (Type 1)

Primary specialty

Pediatric Nephrology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0210X

License number

2016-01060 (NC)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-05-18

Last updated

2023-08-22