Individual provider · Type 1 NPI
John K. Southard Jr., MD
Specialist · Winston-Salem, NC
NPI number
1649267535
Active
Practice location
1345B Westgate Center Dr
Winston-Salem, NC 27103-2934
Fax (336) 760-8443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 18576 (NC) |
| Dermatology Physician | 207N00000X | 18576 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1649267535
John K. Southard Jr., MD's National Provider Identifier is 1649267535, issued on Oct 5, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winston-Salem, NC. The record was last updated on Apr 8, 2009.