Provider Demographics
NPI:1972922367
Name:ISAACS, CAMERON
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:ISAACS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL BLVD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, MEADS HALL, 2ND FLOOR
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-4629
Mailing Address - Fax:336-716-5438
Practice Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL BLVD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, MEADS HALL, 2ND FLOOR
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-4629
Practice Address - Fax:336-716-5438
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-00513207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine