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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 Internal Medicine - Premier
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
4515 PREMIER DRIVE, SUITE 204, HIGH POINT, NC 27265-8350
(336) 802-2075
(336) 802-2076
Mailing address
4515 PREMIER DR STE 204, HIGH POINT, NC 27265-8356
(336) 802-2075
(336) 802-2076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246T
BCBS
NC
01
—
1212660007
DME
NC
01
—
22810
MEDCOST
NC
05
—
5913200
—
NC
01
—
7780730
AETNA
NC
05
—
890246T
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
D266
PARTNERS
NC
Enumeration date
03/19/2007
Last updated
09/25/2025
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