Organization
NORTH CAROLINA BAPTIST HOSPITAL
Active
Parent organization
NORTH CAROLINA BAPTIST HOSPITAL
Other names
Winston East Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CAROLINA BAPTIST HOSPITAL
Authorized official
MR. DONNY C LAMBETH (PRESIDENT)
(336) 716-3003
Entity
Organization
Contact information
Practice address
2295 E 14TH ST, SUITE 100, WINSTON SALEM, NC 27105-6804
(336) 715-0514
(336) 725-2173
Mailing address
PO BOX 751730, CHARLOTTE, NC 28275-1730
(336) 716-3539
(336) 716-5888
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
H0011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333292B
MEDICARE PART B
NC
05
—
3400047
—
NC
01
—
H0011
STATE LICENSE
NC
Enumeration date
03/26/2008
Last updated
10/01/2009
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