Organization
WILKES PHYSICIAN NETWORK, INC.
Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Northwest Carolina Women's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1405 WILLOW LN, NORTHWEST CAROLINA WOMEN'S CENTER, NORTH WILKESBORO, NC 28659-3551
(336) 667-2232
(336) 667-2235
Mailing address
1405 WILLOW LN, NORTHWEST CAROLINA WOMEN'S CENTER, NORTH WILKESBORO, NC 28659-3551
(336) 667-2232
(336) 667-2235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
5913875
—
NC
Enumeration date
11/04/2009
Last updated
10/10/2013
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