Organization
BETHANY MEDICAL CENTER
Active
Parent organization
BETHANY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY MEDICAL CENTER
Authorized official
LENIN J PETERS M.D. (PRESIDENT/CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
495 ARBOR HILL RD STE M, KERNERSVILLE, NC 27284-3335
(336) 883-0029
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 899-2188
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NC
207ZP0101X
Anatomic Pathology Physician
—
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409940
—
NC
05
—
5907644
—
NC
05
—
7901101
—
NC
05
—
89011F1
—
NC
Enumeration date
01/03/2014
Last updated
10/13/2025
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