Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Pediatrics - Premier
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
4515 PREMIER DRIVE, SUITE 203, HIGH POINT, NC 27265-8356
(336) 802-2200
(336) 802-2201
Mailing address
4515 PREMIER DR STE 203, HIGH POINT, NC 27265-8356
(336) 802-2200
(336) 802-2201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902054
—
NC
Enumeration date
03/29/2012
Last updated
09/25/2025
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