# WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023190915
- **Authorized official:** DR. MILTON-JESUS CABALONA SEVILLA M.D. (PRESIDENT)
- **Authorized official phone:** (919) 570-7010

## Contact information

- **Practice address:** 14341 NEW FALLS OF NEUSE, SUITE 122, RALEIGH, NC 27614-8292
- **Practice address phone:** (919) 570-7010
- **Practice address fax:** (919) 570-7020
- **Mailing address:** 14341 NEW FALLS OF NEUSE, SUITE 122, RALEIGH, NC 27614-8292
- **Mailing address phone:** (919) 570-7010
- **Mailing address fax:** (919) 570-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NC | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020