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Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1665 WESTBROOK PLAZA DR, WINSTON SALEM, NC 27103-2993
(336) 760-8380
(336) 760-8388
Mailing address
1665 WESTBROOK PLAZA DR, WINSTON SALEM, NC 27103-2993
(336) 760-8380
(336) 760-8388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007312143
AETNA
—
01
—
018PH
BCBS
NC
01
—
269374
MAMSI
—
05
—
5905774
—
NC
01
—
98096
MEDCOST
—
01
—
CB8658
RAILROAD MEDICARE
NC
01
—
CC4241
RAILROAD MEDICARE
NC
01
—
CC4242
RAILROAD MEDICARE
NC
01
—
CC4243
RAILROAD MEDICARE
NC
01
—
CC5472
RAILROAD MEDICARE
NC
01
—
CC6608
RAILROAD MEDICARE
NC
01
—
CD6614
RAILROAD MEDICARE
NC
01
—
CF9200
RAILROAD MEDICARE
NC
01
—
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/14/2007
Last updated
09/25/2025
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