Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PAUL HIGH MD (EVP HEALTH SYSTEM AFFAIRS)
(336) 716-4724
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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