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Organization

WAKE FOREST UNIVERSITY HEALTH SCIENCES

Active
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Organization

WAKE FOREST UNIVERSITY HEALTH SCIENCES

Active
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Other names
WFU Ophthalmic Consultants
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Authorized official
WILLIAM B APPLEGATE MD (INTERIM PRES, WFU HEALTH SCIENCES)
(336) 716-4424
Entity
Organization

Contact information

Practice address
1014 N ELM ST, GREENSBORO, NC 27401-1424
(336) 274-2149
Mailing address
1014 N ELM ST, GREENSBORO, NC 27401-1424
(336) 274-2149

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907377
NC
Enumeration date
09/25/2006
Last updated
01/15/2008
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