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WAKE FOREST HEALTH NETWORK LLC NPI 1922434307


NPI Information

NPI: 1922434307
Provider Name: WAKE FOREST HEALTH NETWORK LLC

Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE - KERNERSVILLE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2266970

Address:
861 OLD WINSTON RD
SUITE 101
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 904-0043
Get Directions

WAKE FOREST HEALTH NETWORK LLC is an internal medicine in Kernersville, 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 1922434307. 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 Internal Medicine - Kernersville.

The provider's business location address is:

861 OLD WINSTON RD
SUITE 101
KERNERSVILLE, NC
ZIP 27284-140
Phone: (336) 904-0043
Fax: (336) 904-0046

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 34D2266970 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2013 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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