| Wake Forest Emergency Providers | |
|
2005 Pisgah Church Rd Greensboro NC 27455-3309 | |
| (336) 701-2662 | |
| Not Available |
| Full Name | Wake Forest Emergency Providers |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2005 Pisgah Church Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Chadwick D Miller (DIRECTOR OF EMERGENCY MEDICINE) |
| Authorized Official Contact | 3367165599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest Emergency Providers Po Box 896244 Charlotte NC 28289-6244 Ph: (919) 383-0328 | Wake Forest Emergency Providers 2005 Pisgah Church Rd Greensboro NC 27455-3309 Ph: (336) 701-2662 |
| NPI Number | 1477104719 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 09/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477104719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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