Organization
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEY J HANSEN MD (CHAIR, VASCULAR SURGERY)
(336) 713-5256
Entity
Organization
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5256
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
116463
NC
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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