| NPI | 1346516895 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST PEDIATRICS - PREMIER |
| 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 | 2012-03-29 |
| Last Update Date | 2023-11-29 |