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ADVANCING FORWARD HEALTH NPI 1538840285


NPI Information

NPI: 1538840285
Provider Name: ADVANCING FORWARD HEALTH
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 34D2193151

Address:
1495 RYMCO DR STE 105
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 999-3228
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ADVANCING FORWARD HEALTH is an addiction medicine preventive medicine in Winston Salem, NC. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ADVANCING FORWARD HEALTH NPI is 1538840285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1495 RYMCO DR STE 105
WINSTON SALEM, NC
ZIP 27103-947
Phone: (336) 999-3228
Fax: (336) 997-9788

The provider's authorized official is Laura Ann Levin .
The authorized official title is Medical Director/part Owner and has the following contact phone number (704) 783-5583.

The CLIA number assigned to this NPI record is 34D2193151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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