Wake Forest University Baptist Medical Center Community Physicians
NPI #1568455707 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1568455707
- Entity Type
- Organization
- Organization Name
- Wake Forest University Baptist Medical Center Community Physicians
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Apr 10, 2008
Practice Location
- Address
- 113 MARKETPLACE DRIVE
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028
- Phone
- (336) 753-8244
Authorized Official
- Name
- MR. LEWIS S THORP III
- Title
- PRESIDENT CEO
- Phone
- (336) 721-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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