Most Relevant Information
Provider Data
| NPI Number: | 1003179045 |
| Provider Name: | MICHAEL JOSEPH MCCORMACK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | MD464687 |
Most Important Dates
| Enumeration Date: | 06/22/2012 |
| Last Updated: | 10/18/2021 |
Provider Practice Location
MEDICAL CENTER BLVD
WINSTON SALEM
NC
271575103
Practice Location Phone/Fax
| Phone: | 3367162255 |
| Fax: |
Provider Mailing Location
MEDICAL CENTER BLVD
WINSTON SALEM
NC
271570001
Provider Mailing Phone/Fax
| Phone: | 3367135440 |
| Fax: | 3367130333 |