Wake Forest Health Network LLC
NPI #1770858938 in Granite Falls, North Carolina
Provider Information
- NPI Number
- 1770858938
- Entity Type
- Organization
- Organization Name
- Wake Forest Health Network LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 20, 2012
- Last Updated
- Nov 29, 2023
Practice Location
- Address
- ONE TRADE STREET
- City
- Granite Falls
- State
- North Carolina
- ZIP Code
- 28630-1525
- Phone
- (828) 396-3136
Authorized Official
- Name
- RUSSELL MARS HOWERTON
- Title
- SR VP NETWORK PHYS & HS CMO
- Phone
- (336) 716-1331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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