Organization
WHAP PA
Active
Other names
Herbert A Soper MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYNN WALLACE (MANAGER)
(336) 768-1180
Entity
Organization
Contact information
Practice address
1901 S HAWTHORNE RD, STE 320, WINSTON SALEM, NC 27103-3921
(336) 768-1180
(336) 768-8053
Mailing address
1901 S HAWTHORNE RD, STE 320, WINSTON SALEM, NC 27103-3921
(336) 768-1180
(336) 768-8053
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
15372
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8978410
—
NC
Enumeration date
11/02/2005
Last updated
08/22/2020
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