# WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053452953
- **Authorized official:** DR. CECIL DWIGHT PRICE M.D. (DIRECTOR)
- **Authorized official phone:** (336) 758-5218

## Contact information

- **Practice address:** 1834 REYNOLDA ROAD, MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU, WINSTON-SALEM, NC 27106
- **Practice address phone:** (336) 758-5218
- **Practice address fax:** (336) 758-6054
- **Mailing address:** PO BOX 7386, WINSTON SALEM, NC 27109-7386
- **Mailing address phone:** (336) 758-5218
- **Mailing address fax:** (336) 758-6054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 01/19/2011