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Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Wilkes Regional ENT & Sleep Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER (SR VICE PRESIDENT)
(704) 403-2276
Entity
Organization
Contact information
Practice address
1914 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 903-7710
(336) 903-7711
Mailing address
1914 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 903-7710
(336) 903-7711
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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