Healthcare Provider Details

I. General information

NPI: 1457411381
Provider Name (Legal Business Name): HIGH POINT REGIONAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N ELM ST
HIGH POINT NC
27262-4331
US

IV. Provider business mailing address

601 N ELM ST
HIGH POINT NC
27262-4331
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6000
  • Fax:
Mailing address:
  • Phone: 336-878-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberH0052
License Number StateNC

VIII. Authorized Official

Name: MR. WILLIAM ROBERT BRYANT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 336-878-6143