| NPI | 1063647394 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST PEDIATRICS - FORD SIMPSON LIVELY & R |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2023-11-29 |