Organization
WAKE FOREST EMERGENCY PROVIDERS
Active
Organization
WAKE FOREST EMERGENCY PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWICK D MILLER MD (CHAIR OF EMERGENCY MEDICINE)
(336) 713-4944
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4100
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4944
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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