Provider Demographics
NPI:1922250893
Name:WILLIAM W TRUSLOW MD PLLC
Entity Type:Organization
Organization Name:WILLIAM W TRUSLOW MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:TRUSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-379-7597
Mailing Address - Street 1:409 PARKWAY STE A
Mailing Address - Street 2:
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 STE A
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34924261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty