# BETHANY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethany Medical Center - Wilkesboro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508341736
- **Authorized official:** ELISE PETERS (PRESIDENT)
- **Authorized official phone:** (336) 883-0029

## Contact information

- **Practice address:** 1103 W D ST, NORTH WILKESBORO, NC 28659-4141
- **Practice address phone:** (336) 883-0029
- **Mailing address:** 645 N MAIN ST, HIGH POINT, NC 27260-5017
- **Mailing address phone:** (336) 883-0029
- **Mailing address fax:** (336) 899-2176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/13/2025