Organization
BETHANY MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENIN J PETERS MD (PRESIDENT/CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
3604 PETERS CT, HIGH POINT, NC 27265-9004
(336) 812-3610
(336) 812-8988
Mailing address
PO BOX 2403, HIGH POINT, NC 27261-2403
(336) 812-3610
(336) 812-8988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011F1
—
NC
Enumeration date
09/26/2006
Last updated
10/13/2025
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