Organization
DAVIE COUNTY EMERGENCY HEALTH CORP
Active
Other names
Davie County Hospital & Wake Forest Baptist health-Davie
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G. WALSH (ADMINISTRATOR)
(336) 702-5501
Entity
Organization
Contact information
Practice address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 702-5500
(336) 702-5701
Mailing address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 702-5500
(336) 702-5701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
943133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015WY
—
NC
Enumeration date
03/05/2007
Last updated
06/21/2012
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