Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Wilkes Regional Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER MD (SR VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3511
(336) 903-8700
(336) 651-8196
Mailing address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3511
(336) 903-8700
(336) 651-8196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950358
—
NC
Enumeration date
08/06/2008
Last updated
02/07/2014
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