Organization
BETHANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENIN PETERS (DIRECTOR OF CONTRACTING AND CREDENT)
(336) 883-0029
Entity
Organization
Contact information
Practice address
1580 SKEET CLUB RD, HIGH POINT, NC 27265-9530
(336) 883-0029
(336) 899-2176
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 899-2176
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
09/28/2016
Last updated
10/13/2025
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