Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wake Forest Health Network LLC

Organization Family Medicine Physician · NPI 1770858938

Wake Forest Health Network LLC is a Family Medicine Physician in Granite Falls, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Trade St
Granite Falls, NC 28630-1525
Phone: (828) 396-3136
Fax: (828) 396-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770858938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Howerton — Sr Vp Network Phys & Hs Cmo · (336) 716-1331
Other names Atrium Health Wake Forest Baptist Family Medicine - Granite Falls
NPI enumeratedMarch 20, 2012
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address100 Kimel Forest Dr, Winston Salem, NC 27103-6074

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