WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI 1811018831

NPI Information

WAKE FOREST UNIVERSITY HEALTH SCIENCES is a clinic center in Winston Salem, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WAKE FOREST UNIVERSITY HEALTH SCIENCES NPI is 1811018831. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Coliseum Eye Associates.

The provider's business location address is:

631 COLISEUM DR
WINSTON SALEM, NC
ZIP 27106-310
Phone: (336) 723-1041

The provider's authorized official is William Applegate .
The authorized official title is Interim Pres, Wfu Health Sciences and has the following contact phone number (336) 716-4424.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 3/5/2008.

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:

Other Identifiers

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