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Organization
WAKE SPECIALTY PHISICIANS, LLC
Active
Organization
WAKE SPECIALTY PHISICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REVICKI PERRY (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 803854, KANSAS CITY, MO 64180-3854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/30/2025
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