| Atrium Health Wake Forest Baptist Internal Medicine Highland Oaks | |
|
770 Highland Oaks Dr Winston Salem NC 27103-7105 | |
| (336) 765-5250 | |
| (336) 659-0953 |
| Full Name | Atrium Health Wake Forest Baptist Internal Medicine Highland Oaks |
|---|---|
| Speciality | Internal Medicine |
| Location | 770 Highland Oaks Dr, Winston Salem, 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 Internal Medicine Highland Oaks 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Internal Medicine Highland Oaks 770 Highland Oaks Dr Winston Salem NC 27103-7105 Ph: (336) 765-5250 |
| NPI Number | 1740249465 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740249465 | NPI | - | NPPES |
| CC4243 | Other | NC | RR MEDICARE |
| 5905780 | Medicaid | NC | |
| CB8658 | Other | NC | RR MEDICARE |
| CD6614 | Other | NC | RR MEDICARE |
| CC4241 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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