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Contact Information

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
1930 NORTH PEACE HAVEN RD
WINSTON-SALEM, NC27106
 Phone: 336-760-5400
 Fax: 336-760-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS · (Female)

NPI Number 1831182187
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2005
Last updated 04/10/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 890237U
  • NC Other 2317728F MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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