Individual ProviderPeter P CullenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508(336) 718-1000(336) 277-2436PECOS EnrollmentBased on the most recent information from CMS, provider Peter P Cullen 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 ID1568442580Provider TypeIndividualFull NameCullen, Peter PCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508Phone(336) 718-1000FaxUnlisted FaxMailing LocationMailing Address2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical Group, Winston Salem, NC 27103-5616Phone(336) 277-2436FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense22336North CarolinaProvider IdentifiersIDDescriptionIssuerID8926448DescriptionMedicaidIssuerUnlistedNorth Carolina