# NORTH CAROLINA BAPTIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH CAROLINA BAPTIST HOSPITAL
- **Other names:** Winston East Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912179219
- **Legal business name:** NORTH CAROLINA BAPTIST HOSPITAL
- **Authorized official:** MR. DONNY C LAMBETH (PRESIDENT)
- **Authorized official phone:** (336) 716-3003

## Contact information

- **Practice address:** 2295 E 14TH ST, SUITE 100, WINSTON SALEM, NC 27105-6804
- **Practice address phone:** (336) 715-0514
- **Practice address fax:** (336) 725-2173
- **Mailing address:** PO BOX 751730, CHARLOTTE, NC 28275-1730
- **Mailing address phone:** (336) 716-3539
- **Mailing address fax:** (336) 716-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | H0011 | NC | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 10/01/2009
