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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 Family 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 DR, SUITE 201, HIGH POINT, NC 27265-8357
(336) 802-2610
(336) 802-2611
Mailing address
4515 PREMIER DR STE 201, HIGH POINT, NC 27265-8356
(336) 802-2610
(336) 802-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246K
BCBS
NC
01
—
1212660012
DME
NC
01
—
269374
MAMSI
NC
01
—
50132
MEDCOST
NC
01
—
7446746
AETNA
NC
05
—
890246K
—
NC
01
—
CB8658
RRMC GROUP
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/20/2007
Last updated
09/25/2025
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