| Wake Forest Baptist Health | |
|
6630 Shallowford Rd Lewisville NC 27023-9504 | |
| (336) 716-9253 | |
| Not Available |
| Full Name | Wake Forest Baptist Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6630 Shallowford Rd, Lewisville, North Carolina |
| Authorized Official Name and Position | Robin Allison (PROVIDER RELATIONS COORDINATOR) |
| Authorized Official Contact | 3367213937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest Baptist Health 6630 Shallowford Rd Lewisville NC 27023-9504 Ph: (336) 716-9253 | Wake Forest Baptist Health 6630 Shallowford Rd Lewisville NC 27023-9504 Ph: (336) 716-9253 |
| NPI Number | 1093198616 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093198616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 001005813 (North Carolina) | Primary |
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Novant Health Shallowford Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Lowes Foods Dr, Lewisville, NC 27023 Phone: 336-893-2270 Fax: 336-893-2279 | |
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