Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Women's Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1814 WESTCHESTER DRIVE, SUITE 200, HIGH POINT, NC 27262-7369
(336) 802-2185
(336) 802-2186
Mailing address
1814 WESTCHESTER DR STE 200, HIGH POINT, NC 27262-7369
(336) 802-2185
(336) 802-2186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275Q
BCBS
NC
01
—
23180
MEDCOST
—
01
—
271662
MAMSI
—
01
—
7262737
AETNA
—
05
—
89012U1
—
NC
05
—
89012U2
—
NC
01
—
CB8658
RRMC
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4242
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CC5472
RRMC
NC
01
—
CC6608
RR MEDICARE
NC
01
—
CD6614
RRMC
NC
01
—
CF9200
RRMC
NC
01
—
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/19/2007
Last updated
09/25/2025
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