| Wake Forest University Health Sciences | |
|
631 Coliseum Dr Winston Salem NC 27106-5310 | |
| (336) 723-1041 | |
| Not Available |
| Full Name | Wake Forest University Health Sciences |
|---|---|
| Speciality | Clinic/center |
| Location | 631 Coliseum Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | William Applegate (INTERIM PRES, WFU HEALTH SCIENCES) |
| Authorized Official Contact | 3367164424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest University Health Sciences 631 Coliseum Dr Winston Salem NC 27106-5310 Ph: (336) 723-1041 | Wake Forest University Health Sciences 631 Coliseum Dr Winston Salem NC 27106-5310 Ph: (336) 723-1041 |
| NPI Number | 1811018831 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811018831 | NPI | - | NPPES |
| 5902646 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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