Individual ProviderDeirdre HerringtonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503(336) 774-9000PECOS EnrollmentBased on the most recent information from CMS, provider Deirdre Herrington does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1346424744Provider TypeIndividualFull NameHerrington, DeirdreTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/20/2007Last Updated2/19/2013Contact InformationPractice LocationPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-9000Fax(336) 774-9012Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(336) 774-9000Fax(336) 774-9012Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25973North CarolinaProvider IdentifiersIDDescriptionIssuerID6941993DescriptionMedicaidIssuerUnlistedNorth Carolina