Organization
WAKE FOREST UNIVERSITY
Active
Parent organization
WAKE FOREST UNIVERSITY
Other names
Wake Forest University Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST UNIVERSITY
Authorized official
GREG COLLINS ATC (ASSISTANT ATHLETIC DIRECTOR)
(336) 758-5620
Entity
Organization
Contact information
Practice address
WINGATE ROAD, REYNOLDS GYMNASIUM, ROOM 106, WINSTON-SALEM, NC 27106
(336) 758-5620
(336) 758-6149
Mailing address
WINGATE ROAD, REYNOLDS GYMNASIUM, ROOM 106, WINSTON-SALEM, NC 27106
(336) 758-5620
(336) 758-6149
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
08/19/2015
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