34D0247179 CLIA NUMBER - WAKE FOREST HEALTH NETWORK-INTERNAL MEDICINE- WILKES

Laboratory Demographics

CLIA Number: 34D0247179

Facility Name: WAKE FOREST HEALTH NETWORK-INTERNAL MEDICINE- WILKES

Facility Address:
1916 WEST PARK DRIVE
NORTH WILKESBORO, NC
ZIP 28659
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Facility Phone Number: 336 903-2900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013900356

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	34D0247179
LAB Type	Physician Office
Facility Name	WAKE FOREST HEALTH NETWORK-INTERNAL MEDICINE- WILKES
Street	1916 WEST PARK DRIVE
City	NORTH WILKESBORO
State	NC
ZIP	28659
Phone	336 903-2900
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024