Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CAROL JOHNSON (DIRECTOR, MANAGED HEALTH AND ENROLL)
(336) 713-4944
Entity
Organization
Contact information
Practice address
225 W WARD ST STE 102, ASHEBORO, NC 27203-5423
(336) 625-3338
(336) 625-1563
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-9329
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
05/01/2025
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