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Organization

WAKE SPECIALTY PHYSICIANS, LLC

Active
Find providers by NPI
Organization

WAKE SPECIALTY PHYSICIANS, LLC

Active
Other names
WakeMed Heart & Vascular Physicians Carolina Cardiovascular Surgical A
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR FINANCE)
(919) 350-6089
Entity
Organization

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
(919) 231-6334
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0552
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—

Other

Enumeration date
05/13/2014
Last updated
09/12/2016
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