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WAKE FOREST HEALTH NETWORK LLC NPI 1770825390


NPI Information

NPI: 1770825390
Provider Name: WAKE FOREST HEALTH NETWORK LLC

Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST CLINICAL PHARMACY & DIABETES/NUTRITI

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2174615

Address:
1208 EASTCHESTER DR
SUITE 107
HIGH POINT, NC
ZIP 27265
Phone: (336) 802-2588
Get Directions

WAKE FOREST HEALTH NETWORK LLC is an internal medicine in High Point, NC. The provider is 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. WAKE FOREST HEALTH NETWORK LLC NPI is 1770825390. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Clinical Pharmacy & Diabetes/nutriti.

The provider's business location address is:

1208 EASTCHESTER DR
SUITE 107
HIGH POINT, NC
ZIP 27265-170
Phone: (336) 802-2588
Fax: (336) 802-2340

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 34D2174615 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2013 and was last updated on 11/3/2023.


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
1207R00000XInternal 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: 5/5/2024

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