| Atrium Health Wake Forest Baptist Family Medicine - Granite Falls | |
|
One Trade Street Granite Falls NC 28630-1525 | |
| (828) 396-3136 | |
| (828) 396-3105 |
| Full Name | Atrium Health Wake Forest Baptist Family Medicine - Granite Falls |
|---|---|
| Speciality | Family Medicine |
| Location | One Trade Street, Granite Falls, 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 - Granite Falls 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Family Medicine - Granite Falls One Trade Street Granite Falls NC 28630-1525 Ph: (828) 396-3136 |
| NPI Number | 1770858938 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770858938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
Kintegra at Gateway School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1889 Dudley Shoals Rd, Granite Falls, NC 28630 Phone: 828-396-8373 Fax: 828-396-7960 |
Kintegra at Sawmills Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4436 Sawmills School Rd, Granite Falls, NC 28630 Phone: 828-396-2610 Fax: 828-396-2232 |
Kintegra at Dudley Shoals Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Dudley Shoals Rd, Granite Falls, NC 28630 Phone: 828-396-3457 Fax: 828-396-3461 |
Kintegra at Granite Falls Middle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 W Highland Ave, Granite Falls, NC 28630 Phone: 828-396-2341 Fax: 828-396-7072 |
Granite Falls Primary Care Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Trade St, Granite Falls, NC 28630 Phone: 828-396-3136 Fax: 828-396-3105 |
Kintegra at Granite Falls Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Highland Ave, Granite Falls, NC 28630 Phone: 828-396-2222 Fax: 828-396-7796 |