Organization · Type 2 NPI
Wake Forest University Student Health Service
Student Health Clinic/Center · Winston-Salem, NC
NPI number
1053452953
Active
Practice location
1834 Reynolda Road, Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu
Winston-Salem, NC 27106
Fax (336) 758-6054
Mailing address
PO Box 7386
Winston Salem, NC 27109-7386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
About NPI 1053452953
Wake Forest University Student Health Service's National Provider Identifier is 1053452953, issued on Feb 12, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Winston-Salem, NC. The record was last updated on Jan 19, 2011.