WAKE FOREST HEALTH NETWORK LLC NPI 1083971485

NPI Information

  • NPI: 1083971485
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST NEPHROLOGY - PREMIER
  • CLIA Number: 34D2200341
  • Address: 4515 PREMIER DR
    SUITE 403
    HIGH POINT, NC
    ZIP 27265
  • Phone: (336) 802-2930

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is a nephrology internal medicine in High Point, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. WAKE FOREST HEALTH NETWORK LLC NPI is 1083971485. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Nephrology - Premier.

The provider's business location address is:

4515 PREMIER DR
SUITE 403
HIGH POINT, NC
ZIP 27265-357
Phone: (336) 802-2930
Fax: (336) 802-2931

The provider's authorized official is Russell Mars Howerton .
The authorized official title is Sr Vp Network Phys & Hs Cmo and has the following contact phone number (336) 716-1331.

The CLIA number assigned to this NPI record is 34D2200341 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/23/2012 and was last updated on 11/29/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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