Wake Forest University Baptist Medical Center Community Physicians
NPI #1417940636 in Statesville, North Carolina
Provider Information
- NPI Number
- 1417940636
- Entity Type
- Organization
- Organization Name
- Wake Forest University Baptist Medical Center Community Physicians
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 509 BROOKDALE DR
- Address 2
- YOUNG FAMILY PRACTICE
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677-4107
- Phone
- (704) 924-7992
Authorized Official
- Name
- MR. LEWIS S THORP III
- Title
- PRESIDENT CEO
- Phone
- (336) 659-5116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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