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Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
WakeMed Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP)
(919) 350-6045
Entity
Organization
Contact information
Practice address
210 ASHVILLE AVE, CARY, NC 27518-6600
(919) 350-4515
(919) 230-1308
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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