Organization · Type 2 NPI

Wake Forest University Health Sciences

Multi-Specialty Clinic/Center · Kernersville, NC

NPI number 1215754775 Active

Practice location

2755 Nc Highway 66 S
Kernersville, NC 27284-8533

Call (336) 834-3653 Map

Fax (336) 886-0098

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

201 N Pendleton St, High Point, NC 27260-5800 · (336) 884-0387

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Other multi-specialty clinic/center providers in Kernersville

Piedmont Triad Regional CouncilMulti-Specialty Clinic/Center Kernersville, NC NPI 1215485024

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NPI record

NPI: 1215754775
Entity type: Organization (Type 2)
Issued: Sep 25, 2024
Last updated: Sep 25, 2024
Status: Active
Subpart: Yes of Wake Forest University Health Sciences

Other names

Ralph Lauren · doing business as

Authorized official

Ashley C Johnson
Director, Managed Health
(336) 713-4944

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215754775

Wake Forest University Health Sciences's National Provider Identifier is 1215754775, issued on Sep 25, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Kernersville, NC. The record was last updated on Sep 25, 2024.