Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com
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
861 OLD WINSTON RD, SUITE 103, KERNERSVILLE, NC 27284
(336) 802-2300
(336) 802-2301
Mailing address
861 OLD WINSTON RD STE 103, KERNERSVILLE, NC 27284-7141
(336) 802-2300
(336) 802-2301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
09/25/2025
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