NPI | 1962833343 |
---|---|
Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE - SUNSET AVENUE |
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 | 2013-12-10 |
Last Update Date | 2023-11-08 |