Organization
BETHANY MEDICAL CENTER
Active
Parent organization
BETHANY MEDICAL CENTER
Other names
Bethany Medical Pain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY MEDICAL CENTER
Authorized official
LENIN J PETERS MD (CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
160 KIMEL FOREST DR STE 100, WINSTON SALEM, NC 27103-6084
(336) 883-0029
(336) 899-2176
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 899-2176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/02/2018
Last updated
10/13/2025
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