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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 High Point Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
(336) 802-2041
Mailing address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
(336) 802-2041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246W
BCBS
—
01
—
269374
MAMSI
—
01
—
7338741
AETNA
—
01
—
80024
MEDCOST
—
05
—
890246W
—
NC
01
—
CB8658
RRMC
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4242
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CC5472
RR MEDICARE
NC
01
—
CC6608
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
CF9200
RR MEDICARE
NC
01
—
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/21/2007
Last updated
09/25/2025
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