| NPI | 1659495133 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE - PREMIER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-11-29 |