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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 - Granite Falls
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MARS HOWERTON (SR VP NETWORK PHYS & HS CMO)
(336) 716-1331
Entity
Organization
Contact information
Practice address
ONE TRADE STREET, GRANITE FALLS, NC 28630-1525
(828) 396-3136
(828) 396-3105
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
11/29/2023
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