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Organization

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER

Active
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Organization

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER

Active
Parent organization
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Other names
Wilkes Family Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Authorized official
MR. LEWIS S THORP III (PRESIDENT CEO)
(336) 721-3900
Entity
Organization

Contact information

Practice address
1534 WEST D ST, NORTH WILKESBORO, NC 28659-3528
(336) 667-4178
(336) 667-0938
Mailing address
1534 WEST D ST, NORTH WILKESBORO, NC 28659-3528
(336) 667-4178
(336) 667-0938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2317728S
MEDICARE GROUP NUMBER
NC
05
—
5906393
—
NC
Enumeration date
02/21/2007
Last updated
04/11/2008
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