# WAKE FOREST UNIVERSITY HEALTH SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAKE FOREST UNIVERSITY HEALTH SCIENCES
- **Other names:** WFU Health Sciences-Maplewood OB-GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790935815
- **Legal business name:** WAKE FOREST UNIVERSITY HEALTH SCIENCES
- **Authorized official:** WILLIAM B APPLEGATE MD (INTERIM PRES, WFU HEALTH SCIENCES)
- **Authorized official phone:** (336) 716-4424

## Contact information

- **Practice address:** 2830 MAPLEWOOD AVE, SUITE C, WINSTON SALEM, NC 27103-4114
- **Practice address phone:** (336) 716-2255
- **Mailing address:** 2830 MAPLEWOOD AVE, SUITE C, WINSTON SALEM, NC 27103-4114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 09/25/2008