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Organization

WAKEMED SPECIALISTS GROUP LLC

Active
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Organization

WAKEMED SPECIALISTS GROUP LLC

Active
Other names
WakeMed - Virtual Cardiac Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN REVICKI PERRY (SERVICE LINE EXECUTIVE DIRECTOR)
(919) 350-8000
Entity
Organization

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
(919) 350-0554

Taxonomy

Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
NULL
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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