Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Other names
WFUHS Knollwood Cosmetic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Authorized official
WILLIAM APPLEGATE MD (INTERIM PRES, WFU HEALTH SCIENCES)
(336) 716-4424
Entity
Organization
Contact information
Practice address
380 KNOLLWOOD ST, SUITE 630, WINSTON SALEM, NC 27103-1884
(336) 713-4372
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/17/2008
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