Organization
BETHANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENIN J PETERS (CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
5093 UNIVERSITY PKWY, WINSTON SALEM, NC 27106-6085
(336) 883-0029
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
10/19/2018
Last updated
10/13/2025
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