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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 Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1534 W D ST, NORTH WILKESBORO, NC 28659-3528
(336) 667-4178
(336) 667-0938
Mailing address
1534 W D ST, NORTH WILKESBORO, NC 28659-3528
(336) 667-4178
(336) 667-0938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
5916110
—
NC
Enumeration date
06/16/2010
Last updated
03/02/2011
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