Organization · Type 2 NPI

Wake Forest University Health Sciences

Clinic/Center · Statesville, NC

NPI number 1245757665 Active

Practice location

557 Brookdale Dr
Statesville, NC 28677-4107

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1245757665

Wake Forest University Health Sciences's National Provider Identifier is 1245757665, issued on Aug 25, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Statesville, NC. The record was last updated on Aug 25, 2017.