Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Orthopaedic Specialists of Wilkes
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA LOWDER (SR VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES, NORTH WILKESBORO, NC 28659-3585
(336) 903-7845
(336) 903-7841
Mailing address
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES, NORTH WILKESBORO, NC 28659-3585
(336) 903-7845
(336) 903-7841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE GROUP PTAN
NC
Enumeration date
09/02/2009
Last updated
09/02/2009
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