WAKE FOREST HEALTH NETWORK LLC NPI 1770858938

NPI Information

  • NPI: 1770858938
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE - GRANITE FALLS
  • Address: ONE TRADE STREET
    GRANITE FALLS, NC
    ZIP 28630
  • Phone: (828) 396-3136

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is a family medicine in Granite Falls, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAKE FOREST HEALTH NETWORK LLC NPI is 1770858938. 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 Family Medicine - Granite Falls.

The provider's business location address is:

ONE TRADE STREET
GRANITE FALLS, NC
ZIP 28630-525
Phone: (828) 396-3136
Fax: (828) 396-3105

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 enumeration date for this NPI number is 3/20/2012 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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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