Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Other names
Ralph Lauren
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Authorized official
ASHLEY C JOHNSON (DIRECTOR, MANAGED HEALTH)
(336) 713-4944
Entity
Organization
Contact information
Practice address
2755 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284-8533
(336) 834-3653
(336) 886-0098
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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