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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 Clinical Pharmacy & Diabetes/Nutriti
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MARS HOWERTON MD (SR VP NETWORK PHYS & HS CMO)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1208 EASTCHESTER DR, SUITE 107, HIGH POINT, NC 27265-3170
(336) 802-2588
(336) 802-2340
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
11/03/2023
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