| NPI | 1013352137 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST GASTROENTEROLOGY - PREMIER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-11-08 |