Organization
BETHANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENIN J PETERS MD (CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
1908 CAUDLE DR STE 105, MOUNT AIRY, NC 27030-4322
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(369) 670-8463
(336) 899-2176
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/22/2019
Last updated
10/13/2025
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