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Organization

WAKE FOREST BAPTIST IMAGING, LLC

Active
Parent organization
WAKE FOREST BAPTIST IMAGING, LLC
Other names
Atrium Health Wake Forest Baptist Imaging - Kernersville
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAKE FOREST BAPTIST IMAGING, LLC
Authorized official
AMY STOUT (PRESIDENT/CEO)
(615) 261-2306
Entity
Organization

Contact information

Practice address
861 OLD WINSTON RD STE 105, KERNERSVILLE, NC 27284-7141
(336) 765-5722
(336) 765-5723
Mailing address
800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
(615) 261-2306
(855) 588-3545

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/02/2020
Last updated
12/16/2025
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