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Organization

WILKES PHYSICIAN NETWORK, INC.

Active
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Organization

WILKES PHYSICIAN NETWORK, INC.

Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Greenway Healthcare
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER (SR. VP)
(704) 403-4146
Entity
Organization

Contact information

Practice address
1404 WILLOW LN, GREENWAY HEALTHCARE, NORTH WILKESBORO, NC 28659-3584
(336) 667-0335
(336) 667-4434
Mailing address
1404 WILLOW LN, GREENWAY HEALTHCARE, NORTH WILKESBORO, NC 28659-3584
(336) 667-0335
(336) 667-4434

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
5915947
—
NC
Enumeration date
04/06/2010
Last updated
02/25/2011
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