The tallest in Winston-Salem that I'm aware of are:
Winston-Salem has many "show projects" from the early 1900s, when Winston-Salem was North Carolina's largest city. Many of the city's churches from that time are included in the list of show projects. Winston-Salem also has a few beautiful churches from the 1700s that are still in use, but they aren't tall enough to post here.
Centenary United Methodist Church
Architect: Bertram Goodhue
Was the largest church in North Carolina at the time of completion. I think it has seven storeys and is the tallest by number of floors in Winston-Salem. It's a combination of Art Deco and Neo-Gothic. The block it is located on is twice as large as most city blocks and it uses almost the entire block.
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First Baptist Church
Architect: Dougherty & Gardner
Height: I seem to remember it is around 200 feet/60 meters?
Tallest church on the downtown skyline. Modeled after a church in London. It's beautiful inside!
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St. Paul's Episcopal Church
Architect: Ralph Adams Cram
This building is built into the side of a tall ridge and is shorter at the main entrance and extremely tall on the back side! Cram was the nation's leading church architect at the time.
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Wait Chapel
Architect: Jens Fredrick Larson
Height: 213 Feet/64.9 Meters
I think this is the tallest church in Winston-Salem? It was the site of two presidential debates, several presidential speeches, a practice speech for Dr. Martin Luther King Jr.'s I Have a Dream speech, along with many other speeches and it hosts many large rock concerts, due to its seating capacity.
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Yes, I said it hosts concerts.
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A good look at the size:
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