Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Pulmonology - Westchester
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1814 WESTCHESTER DR STE 202, HIGH POINT, NC 27262-7369
(336) 802-2090
(336) 802-2091
Mailing address
1814 WESTCHESTER DR STE 202, HIGH POINT, NC 27262-7369
(336) 802-2090
(336) 802-2091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02374
BCBS
NC
05
—
7902374
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4242
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CC5472
RR MEDICARE
NC
01
—
CC6608
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
CF9200
RR MEDICARE
NC
Enumeration date
04/02/2007
Last updated
09/25/2025
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