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North Carolina Baptist Hospital
Pediatric Adolescent Medicine Physician in Winston Salem, North Carolina
NPI 1912179219

North Carolina Baptist Hospital is a Pediatric Adolescent Medicine Physician based in Charlotte, NC and is specialized in Adolescent Medicine. North Carolina Baptist Hospital practices in Winston Salem, NC. The NPI Number for North Carolina Baptist Hospital is 1912179219 and holds a License No. H0011 (North Carolina).

The current practice location address for North Carolina Baptist Hospital is 2295 E 14Th St, Winston Salem, NC and can be reached out via phone at 336-715-0514 and via fax at 336-725-2173.

Location: 2295 E 14Th St, Winston Salem, NC, 28275-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912179219
Provider Name
North Carolina Baptist Hospital
Credential
Provider Entity Type
Organization
Address
2295 E 14Th St, Winston Salem, NC, 28275-1730
Phone Number
336-715-0514
Fax Number
336-725-2173
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2333292B 01 NC MEDICARE PART B
3400047 05 NC
H0011 01 NC STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2295 E 14Th St
City
Winston Salem
State
North Carolina
Zip
27105-6804
Phone Number
336-715-0514
Fax Number
336-725-2173
person
Provider Business Mailing Address Details
Address
2295 E 14Th St
City
Winston Salem
State
North Carolina
Zip
27105-6804
Phone Number
336-715-0514
Fax Number
336-725-2173
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
H0011 (North Carolina)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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