Provider Demographics
NPI:1295715563
Name:MCGUIRT, WILLIAM FREDERICK (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:MCGUIRT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 CHARLOIS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1522
Mailing Address - Country:US
Mailing Address - Phone:336-768-3361
Mailing Address - Fax:336-768-4131
Practice Address - Street 1:110 CHARLOIS BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1522
Practice Address - Country:US
Practice Address - Phone:336-768-3361
Practice Address - Fax:336-768-4131
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9501002207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10189OtherPARTNERS
NC040017171OtherRAILROAD MEDICARE
NC1000191OtherUNITED HEALTHCARE
NC56643OtherBLUE CROSS BLUE SHIELD
NC6503284OtherCHAMPUS
NC8956643Medicaid
NCB6864OtherMEDCOST
NC2216894BMedicare ID - Type UnspecifiedMEDICARE
NCF76278Medicare UPIN