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Organization

WFUBMCCP PRIMARY CARE, LLC

Active
Parent organization
NORTH CAROLINA BAPTIST HOSPITAL
Other names
Wake Forest Baptist Healthcare Center - Davie
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH CAROLINA BAPTIST HOSPITAL
Authorized official
MR. MCLAIN WALLACE JR. (GENERAL COUNSEL)
(336) 716-2817
Entity
Organization

Contact information

Practice address
1188 YADKINVILLE RD, MOCKSVILLE, NC 27028-2037
(336) 751-8304
(336) 751-8402
Mailing address
PO BOX 1209, MOCKSVILLE, NC 27028-1209
(336) 751-8304
(336) 751-8402

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/30/2008
Last updated
09/30/2008
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