Individual provider · Type 1 NPI

Carol Logan Vincent, MD

Pediatric Nephrology Physician · Winston Salem, NC

NPI number 1134489602 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 713-4501

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

  • 247 Macnider Hl, Cb 7593, Chapel Hill, NC 27599-0001 · (919) 960-6094
  • 3903 N Elm St, Greensboro, NC 27455-2877 · (336) 713-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X183249 (NC)
Pediatric Nephrology Physician Primary 2080P0210X2016-01060 (NC)

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

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About NPI 1134489602

Carol Logan Vincent, MD's National Provider Identifier is 1134489602, issued on May 18, 2012. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 22, 2023.