| Atrium Health Wake Forest Baptist Family Medicine - Thomasville | |
|
711 National Hwy Ste 500 Thomasville NC 27360-2669 | |
| (336) 475-9164 | |
| (336) 475-6619 |
| Full Name | Atrium Health Wake Forest Baptist Family Medicine - Thomasville |
|---|---|
| Speciality | Family Medicine |
| Location | 711 National Hwy Ste 500, Thomasville, 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 - Thomasville 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Family Medicine - Thomasville 711 National Hwy Ste 500 Thomasville NC 27360-2669 Ph: (336) 475-9164 |
| NPI Number | 1073822029 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073822029 | NPI | - | NPPES |
| 5916539 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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