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Colin M Segovis

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1124311212
PECOS ID: 9234369935
Enrollment ID: I20140225001017
Credential(MD, DO, DPM):
Medical School: Mayo Medical School
Medical School Graduation Year: 2011

Hospital Service

Hospital CCN1: 340047
Business Name (LBN)1: North Carolina Baptist Hospital

Medical Practices

Organization Name: Wake Forest Baptist Imaging Llc
Group Practice ID assigned by PECOS: 3173681681
Number of Group Practice member: 48

Location

Address1: 265 Executive Park Blvd
Address2:
City: Winston Salem
State: North Carolina
Zip Code: 27103
Phone Number: (336)765-5722

Medical Practices

Organization Name: Wake Forest University Health Sciences
Group Practice ID assigned by PECOS: 4486564952
Number of Group Practice member: 1479

Location

Address1: Medical Ctr Blvd
Address2:
City: Winston Salem
State: North Carolina
Zip Code: 27157
Phone Number: (336)716-2734

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR):