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Organization
WAKE SPECIALTY PHISICIANS, LLC
Active
Organization
WAKE SPECIALTY PHISICIANS, LLC
Active
Other names
WakeMed Primary Care Oberlin
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP OPERATIONS)
(919) 350-6045
Entity
Organization
Contact information
Practice address
601 OBERLIN RD, RALEIGH, NC 27605-1126
(919) 235-6566
(919) 235-6532
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0554
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/06/2020
Last updated
01/14/2021
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