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Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Wilkes Adult and Pediatric Medicine
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
1915 WEST PARK DR, SUITE 103, NORTH WILKESBORO, NC 28659-3777
(336) 838-9553
(336) 838-9563
Mailing address
1915 WEST PARK DR, SUITE 103, NORTH WILKESBORO, NC 28659-3777
(336) 838-9553
(336) 838-9563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917190
—
NC
Enumeration date
01/07/2011
Last updated
06/30/2011
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