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Organization
WAKE FOREST UNIVERSITY, BAPTIST MEDICAL CENTER
Active
Organization
WAKE FOREST UNIVERSITY, BAPTIST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH DONNELLY (FELLOWSHIP PROGRAM COORDINATOR)
(336) 716-6777
Entity
Organization
Contact information
Practice address
MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY, HEMATOLOGY AND ONCOLOGY, WINSTON SALEM, NC 27157-0001
(336) 716-6777
Mailing address
MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY, HEMATOLOGY AND ONCOLOGY, WINSTON SALEM, NC 27157-0001
(336) 716-6777
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
00746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52163B
UPIN
NC
Enumeration date
09/28/2007
Last updated
09/28/2007
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