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Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Other names
WFU Health Sciences-Neonatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Authorized official
WILLIAM APPLEGATE MD (INTERIM PRES, WFU HEALTH SCIENCES)
(336) 716-4424
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON-SALEM, NC 27103-3013
(336) 718-4970
Mailing address
2000 FRONTIS PLAZA BLVD, SUITE 300, WINSTON SALEM, NC 27103-5616
(336) 718-4970
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228F
BCBS OF NC
NC
05
—
89013K1
—
NC
Enumeration date
07/05/2006
Last updated
01/14/2008
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