Healthcare Provider Details

I. General information

NPI: 1154326379
Provider Name (Legal Business Name): DAVIE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 NC HIGHWAY 801 N
BERMUDA RUN NC
27006-7905
US

IV. Provider business mailing address

329 NC HIGHWAY 801 N
BERMUDA RUN NC
27006-7905
US

V. Phone/Fax

Practice location:
  • Phone: 336-998-1300
  • Fax: 336-702-5701
Mailing address:
  • Phone: 336-751-8100
  • Fax: 336-716-3202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH0171
License Number StateNC

VIII. Authorized Official

Name: CATHLEEN WHEATLEY
Title or Position: PRESIDENT, WFB AND DMC
Credential: DNP
Phone: 336-713-4944