Provider Demographics
NPI:1790795755
Name:TRUSLOW, WILLIAM WORTH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WORTH
Last Name:TRUSLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:409 PARKWAY DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1623
Mailing Address - Country:US
Mailing Address - Phone:336-379-7597
Mailing Address - Fax:336-379-9197
Practice Address - Street 1:409 PARKWAY DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1623
Practice Address - Country:US
Practice Address - Phone:336-379-7597
Practice Address - Fax:336-379-9197
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC34924207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8983871Medicaid
NCE85783Medicare UPIN
NC2166377BMedicare ID - Type Unspecified