Provider Demographics
NPI:1144578154
Name:SENOLOS, GILMORE CURA (MD)
Entity Type:Individual
Prefix:DR
First Name:GILMORE
Middle Name:CURA
Last Name:SENOLOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 QUEEN ST
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2036
Mailing Address - Country:US
Mailing Address - Phone:336-483-6604
Mailing Address - Fax:
Practice Address - Street 1:300 S HAWTHORNE RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1088
Practice Address - Country:US
Practice Address - Phone:336-713-8467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program