Provider Demographics
NPI:1053571604
Name:CURLING, OTIS DELANO JR (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:OTIS
Middle Name:DELANO
Last Name:CURLING
Suffix:JR
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:WALKERTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27051-0100
Mailing Address - Country:US
Mailing Address - Phone:336-409-4847
Mailing Address - Fax:336-450-1001
Practice Address - Street 1:730 HIGHLAND OAKS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-7154
Practice Address - Country:US
Practice Address - Phone:336-409-4847
Practice Address - Fax:336-450-1001
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30141207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD92808Medicare UPIN