Provider Demographics
NPI:1215513262
Name:SAINT-LOUIS, MARC-EDWIN GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:MARC-EDWIN
Middle Name:GABRIEL
Last Name:SAINT-LOUIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-1957
Mailing Address - Fax:336-716-1968
Practice Address - Street 1:3120 NORTHLINE AVE STE 102
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7814
Practice Address - Country:US
Practice Address - Phone:336-716-1957
Practice Address - Fax:336-716-1968
Is Sole Proprietor?:No
Enumeration Date:2021-03-21
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA100149207Q00000X
FLME163815207Q00000X
NC2025-03052207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine