Provider Demographics
NPI:1386627677
Name:SOBOL, ANNA LUCY (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LUCY
Last Name:SOBOL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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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:336-903-7900
Mailing Address - Fax:336-713-5445
Practice Address - Street 1:1370 W D ST
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3506
Practice Address - Country:US
Practice Address - Phone:336-903-7900
Practice Address - Fax:336-713-5445
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-01642207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912312Medicaid
NC5912312Medicaid