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Organization
WAKE FOREST BAPTIST IMAGING, LLC
Active
Organization
WAKE FOREST BAPTIST IMAGING, LLC
Active
Other names
Atrium Health Wake Forest Baptist Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STOUT (PRESIDENT/CEO)
(615) 261-2306
Entity
Organization
Contact information
Practice address
265 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 765-5722
(336) 765-5723
Mailing address
800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
(615) 261-2306
(855) 588-3545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2008
Last updated
12/16/2025
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