| Atrium Health Wake Forest Baptist Internal Medicine - Kernersville | |
|
861 Old Winston Rd Suite 101 Kernersville NC 27284-7140 | |
| (336) 904-0043 | |
| (336) 904-0046 |
| Full Name | Atrium Health Wake Forest Baptist Internal Medicine - Kernersville |
|---|---|
| Speciality | Internal Medicine |
| Location | 861 Old Winston Rd, Kernersville, 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 - Kernersville 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Internal Medicine - Kernersville 861 Old Winston Rd Suite 101 Kernersville NC 27284-7140 Ph: (336) 904-0043 |
| NPI Number | 1922434307 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922434307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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