Provider Demographics
NPI:1003072596
Name:WFU ORTHOPAEDICS/WILKES
Entity Type:Organization
Organization Name:WFU ORTHOPAEDICS/WILKES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-651-8510
Mailing Address - Street 1:1917 WEST PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28635-3564
Mailing Address - Country:US
Mailing Address - Phone:336-903-7845
Mailing Address - Fax:
Practice Address - Street 1:1917 WEST PARK DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28635-3564
Practice Address - Country:US
Practice Address - Phone:336-903-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WRMC HOSPITAL OPERATING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty