| Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza | |
|
1665 Westbrook Plaza Dr Winston Salem NC 27103-2993 | |
| (336) 760-8380 | |
| (336) 760-8388 |
| Full Name | Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza |
|---|---|
| Speciality | Family Medicine |
| Location | 1665 Westbrook Plaza Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HS CMO) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza 100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza 1665 Westbrook Plaza Dr Winston Salem NC 27103-2993 Ph: (336) 760-8380 |
| NPI Number | 1023142122 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023142122 | NPI | - | NPPES |
| CC4242 | Other | NC | RAILROAD MEDICARE |
| 5905774 | Medicaid | NC | |
| CC5472 | Other | NC | RAILROAD MEDICARE |
| D266 | Other | NC | PARTNERS MEDICARE CHOICE |
| 98096 | Other | MEDCOST | |
| CB8658 | Other | NC | RAILROAD MEDICARE |
| CC6608 | Other | NC | RAILROAD MEDICARE |
| 0007312143 | Other | AETNA | |
| 018PH | Other | NC | BCBS |
| 269374 | Other | MAMSI | |
| CC4243 | Other | NC | RAILROAD MEDICARE |
| CD6614 | Other | NC | RAILROAD MEDICARE |
| CF9200 | Other | NC | RAILROAD MEDICARE |
| CC4241 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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