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Organization
BETHANY MEDICAL CENTER
Active
Organization
BETHANY MEDICAL CENTER
Active
Parent organization
BETHANY MEDICAL CENTER
Other names
Bethany Pathology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY MEDICAL CENTER
Authorized official
MANDY WOMBLE (CFO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
100 N BRIDGE ST, SUITE C, WILKESBORO, NC 28697-2488
(336) 883-0029
(336) 899-2188
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 899-2188
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NC
207ZP0101X
Anatomic Pathology Physician
—
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409940
—
NC
05
—
5907644
—
NC
05
—
7901101
—
NC
05
—
89011F1
—
NC
Enumeration date
10/31/2013
Last updated
10/13/2025
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