Organization · Type 2 NPI

Wake Forest University Health Sciences

Multi-Specialty Clinic/Center · Advance, NC

NPI number 1487471090 Active

Practice location

132 Ashley Furniture Way
Advance, NC 27006

Call (336) 713-8948 Map

Fax (336) 702-9285

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Specialties and licenses

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

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

4 other providers at this address

NPI record

NPI: 1487471090
Entity type: Organization (Type 2)
Issued: Sep 24, 2024
Last updated: Sep 24, 2024
Status: Active
Subpart: Yes of Wake Forest University Health Sciences

Other names

Ashley Furniture Wellness Center · doing business as

Authorized official

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

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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 1487471090

Wake Forest University Health Sciences's National Provider Identifier is 1487471090, issued on Sep 24, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Advance, NC. The record was last updated on Sep 24, 2024.