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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 - Summerfield
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
4431 HWY 220 N, SUMMERFIELD, NC 27358-9411
(336) 643-7711
(336) 643-3047
Mailing address
4431 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9411
(336) 643-7711
(336) 643-3047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913764
—
NC
01
—
DP8978
RR MEDICARE
NC
Enumeration date
11/11/2009
Last updated
09/25/2025
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