| NPI | 1700901436 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE - PREMIER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-11-08 |