# WAKE FOREST BAPTIST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558799981
- **Authorized official:** CHARLES L BRANCH JR. M.D. (PROFESSOR & CHAIR OF DEPT OF NEUROS)
- **Authorized official phone:** (336) 716-4081

## Contact information

- **Practice address:** MEDICAL CENTER BLVD, WINSTON SALEM, NC 27103
- **Practice address phone:** (336) 716-4081
- **Mailing address:** MEDICAL CENTER BLVD, WINSTON SALEM, NC 27103
- **Mailing address phone:** (336) 716-4081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 281P00000X | Chronic Disease Hospital | 0010-04569 | NC | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 10/22/2013