WAKE FOREST AMBULATORY VENTURES LLC NPI 1225568884

NPI Information

WAKE FOREST AMBULATORY VENTURES, LLC is an ambulatory surgical clinic center in Winston-salem, NC. WAKE FOREST AMBULATORY VENTURES, LLC NPI is 1225568884. The provider is registered as an organization entity type.

The provider's business location address is:

6441 KINNAMON CT
WINSTON-SALEM, NC
ZIP 27103
Phone: (833) 283-5487

The provider's authorized official is Corrie Massey .
The authorized official title is Chief Administrative Officer and has the following contact phone number (833) 283-5487.

The CLIA number assigned to this NPI record is 34D2137551 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 3/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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