| Atrium Health Wake Forest Baptist Behavioral Medicine - Eastchester | |
|
1208 Eastchester Dr Suite 200 High Point NC 27265-3170 | |
| (336) 802-2205 | |
| (336) 802-2206 |
| Full Name | Atrium Health Wake Forest Baptist Behavioral Medicine - Eastchester |
|---|---|
| Speciality | Psychologist |
| Location | 1208 Eastchester Dr, 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 - Eastchester 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Behavioral Medicine - Eastchester 1208 Eastchester Dr Suite 200 High Point NC 27265-3170 Ph: (336) 802-2205 |
| NPI Number | 1003239096 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003239096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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