Organization
WAKE FOREST BAPTIST HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH LOCKETT GARDNER M.D. (PHYSICIAN)
(336) 669-4984
Entity
Organization
Contact information
Practice address
8 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(888) 716-9233
Mailing address
8 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
183212
NC
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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