Provider Demographics
NPI:1619970449
Name:TEMAS, GREGORY PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:PETER
Last Name:TEMAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:725 HIGHLAND OAKS DR
Mailing Address - Street 2:STE 101
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-7109
Mailing Address - Country:US
Mailing Address - Phone:336-659-8180
Mailing Address - Fax:336-659-8363
Practice Address - Street 1:725 HIGHLAND OAKS DR
Practice Address - Street 2:STE 101
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-7109
Practice Address - Country:US
Practice Address - Phone:336-659-8180
Practice Address - Fax:336-659-8363
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC33905207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8982353Medicaid
NCE91127Medicare UPIN
NC2161583BMedicare ID - Type Unspecified