| NPI | 1104959055 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST OPHTHALMOLOGY - OAK HOLLOW |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-11-08 |