| Atrium Health Wake Forest Baptist Behavioral Medicine - Premier | |
|
4515 Premier Dr Ste 402a High Point NC 27265-8356 | |
| (336) 702-1255 | |
| (336) 802-2221 |
| Full Name | Atrium Health Wake Forest Baptist Behavioral Medicine - Premier |
|---|---|
| Speciality | Psychologist |
| Location | 4515 Premier Dr Ste 402a, High Point, North Carolina |
| Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HS CMO) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Wake Forest Baptist Behavioral Medicine - Premier 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Behavioral Medicine - Premier 4515 Premier Dr Ste 402a High Point NC 27265-8356 Ph: (336) 702-1255 |
| NPI Number | 1982084307 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982084307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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