| Atrium Health Wake Forest Baptist Family Medicine - Conover | |
|
305 1st St E Conover NC 28613-1715 | |
| (828) 464-3821 | |
| (828) 464-8994 |
| Full Name | Atrium Health Wake Forest Baptist Family Medicine - Conover |
|---|---|
| Speciality | Family Medicine |
| Location | 305 1st St E, Conover, 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 Family Medicine - Conover 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Family Medicine - Conover 305 1st St E Conover NC 28613-1715 Ph: (828) 464-3821 |
| NPI Number | 1326313735 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326313735 | NPI | - | NPPES |
| 5920103 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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