Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Obstetrics and Gynecology - Asheboro
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
136 S PARK STREET, ASHEBORO, NC 27203-5651
(336) 626-6371
(336) 629-0436
Mailing address
136 S PARK ST, ASHEBORO, NC 27203-5651
(336) 626-6371
(336) 629-0436
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950293
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
Enumeration date
07/16/2008
Last updated
09/25/2025
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