Wake Forest University Health Sciences
Specialty details in registry · Winston Salem, NC
At a glance
1901 Mooney St, Winston Salem, NC 27103-3032
NPPES record updated Oct 17, 2025. Public records can lag behind changes at a practice.
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Practice location
1901 Mooney StWinston Salem, NC 27103-3032
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM1300X
- Enumeration date
- Aug 19, 2020
- Record updated
- Oct 17, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM1300X · Primary
Specialty details in registry
332B00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1901 Mooney StWinston Salem, NC 27103-3032
- Phone
- (336) 716-4207
- Fax
- (336) 713-3244
Mailing address
1901 MOONEY STWINSTON SALEM, NC 271033027
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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