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Organization
WAKE SPECIALTY PHYSICIANS LLC
Active
Organization
WAKE SPECIALTY PHYSICIANS LLC
Active
Other names
WakeMed Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR, FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 235-6450
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0554
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NC
Other
Enumeration date
06/09/2016
Last updated
09/12/2016
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