Provider Demographics
NPI:1548244510
Name:PALMES, GUY (MD)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:
Last Name:PALMES
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 1:1834 WAKE FOREST RD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27109-6000
Mailing Address - Country:US
Mailing Address - Phone:336-758-5218
Mailing Address - Fax:
Practice Address - Street 1:1834 WAKE FOREST RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27109-6000
Practice Address - Country:US
Practice Address - Phone:336-758-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98003522084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ0035CMedicaid
VA7101341Medicaid
WV3000153000Medicaid
79210OtherMEDCOST
260050042OtherRR MEDICARE
NC891131AMedicaid
1131AOtherBCBS
25842OtherPARTNERS
7694280OtherAETNA
WV3000153000Medicaid