WFUBMCCP PRIMARY CARE, LLC

MOCKSVILLE, NC
NPI1407007131
Doing Business AsWAKE FOREST BAPTIST HEALTHCARE CENTER - DAVIE
Entity TypeOrganization
Authorized ContactMCLAIN WALLACE
General Counsel
336-716-2817
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2008-09-30
Last Update Date2008-09-30
Business Address
WFUBMCCP PRIMARY CARE, LLC
1188 YADKINVILLE RD
MOCKSVILLE, NC 27028-2037
Phone number: 336-751-8304
Mailing Address
WFUBMCCP PRIMARY CARE, LLC
PO BOX 1209
MOCKSVILLE, NC 27028-1209
Phone number: 336-751-8304