Organization
WAKE FOREST BAPTIST HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ALLISON (PROVIDER RELATIONS COORDINATOR)
(336) 721-3937
Entity
Organization
Contact information
Practice address
6630 SHALLOWFORD RD, LEWISVILLE, NC 27023-9504
(336) 716-9253
Mailing address
6630 SHALLOWFORD RD, LEWISVILLE, NC 27023-9504
(336) 716-9253
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
001005813
NC
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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