Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
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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