Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Ear, Nose & Throat - Greensboro
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
1132 N CHURCH ST STE 200, GREENSBORO, NC 27401-1040
(336) 379-9445
(336) 702-9323
Mailing address
1132 N CHURCH ST STE 200, GREENSBORO, NC 27401-1040
(336) 379-9445
(336) 702-9323
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053351965
—
NC
Enumeration date
03/27/2012
Last updated
09/25/2025
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