Organization
WAKE FOREST UNIVERSITY, BAPTIST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH DONNELLY (FELLOWSHIP PROGRAM COORDINATOR)
(336) 716-6777
Entity
Organization
Contact information
Practice address
MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY, HEMATOLOGY AND ONCOLOGY, WINSTON SALEM, NC 27157-0001
(336) 716-6777
Mailing address
MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY, HEMATOLOGY AND ONCOLOGY, WINSTON SALEM, NC 27157-0001
(336) 716-6777
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
00746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52163B
UPIN
NC
Enumeration date
09/28/2007
Last updated
09/28/2007
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