Organization · Type 2 NPI

Wake Forest University Baptist Medical Center Community Physicians

Family Medicine Physician · Clemmons, NC

NPI number 1871797688 Active

Practice location

5175 Old Clemmons School Road
Clemmons, NC 27012

Fax (336) 778-0202

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1871797688
Entity type: Organization (Type 2)
Issued: Jun 14, 2007
Last updated: Apr 10, 2008
Status: Active
Subpart: Yes of Wake Forest University Baptist Medical Center Community Physicians

Other names

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Marlette Family Practice · doing business as

Authorized official

Mr. Lewis S Thorp
President CEO
(336) 721-3900

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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 1871797688

Wake Forest University Baptist Medical Center Community Physicians's National Provider Identifier is 1871797688, issued on Jun 14, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clemmons, NC. The record was last updated on Apr 10, 2008.