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WFUBMCCP PRIMARY CARE LLC NPI 1407007131


NPI Information

NPI: 1407007131
Provider Name: WFUBMCCP PRIMARY CARE, LLC

Doing Business As: WAKE FOREST BAPTIST HEALTHCARE CENTER - DAVIE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1188 YADKINVILLE RD
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 751-8304
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WFUBMCCP PRIMARY CARE, LLC is a primary care clinic center in Mocksville, NC. WFUBMCCP PRIMARY CARE, LLC NPI is 1407007131. The provider is registered as an organization entity type.
The provider Is Doing Business As Wake Forest Baptist Healthcare Center - Davie.

The provider's business location address is:

1188 YADKINVILLE RD
MOCKSVILLE, NC
ZIP 27028-037
Phone: (336) 751-8304
Fax: (336) 751-8402

The provider's authorized official is Mclain Wallace .
The authorized official title is General Counsel and has the following contact phone number (336) 716-2817.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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