Mdco PA
Pediatrics in Winston Salem, NC. Organization (NPI-2).
NPI number1649239641
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1649239641
- Entity type
- Organization (NPI-2)
- Legal business name
- Mdco PA
- Organization subpart
- No
- Enumeration date
- Mar 20, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 95-00759 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | 101788 | NC | |
| 207Q00000X | Family Medicine | 9500876 | NC | |
| 207Q00000X | Family Medicine | 24445 | NC | |
| 207Q00000X | Family Medicine | 9500759 | NC | |
| 363AM0700X | Physician Assistant, Medical | 102304 | NC | |
| 363AM0700X | Physician Assistant, Medical | 101138 | NC | |
| 207R00000X | Internal Medicine | 95-00876 | NC | |
| 207R00000X | Internal Medicine | 95-00759 | NC | |
| 208000000X | Pediatrics | 95-00876 | NC |
Other names
- North Point Medical Associates; West Forsyth Family Medicine (Doing Business As)
Practice location
1995 Bethabara RdWinston Salem, NC 27106-3375
Phone 336-245-0333 · Fax 336-245-0332
Mailing address
1995 Bethabara RdWinston Salem, NC 27106-3375
Phone 336-759-7596
Authorized official
Timothy John Dalton
Physician
3367597596
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