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Organization
WAKE SPECIALTY PHYSICIANS
Active
Organization
WAKE SPECIALTY PHYSICIANS
Active
Other names
WakeMed MyCare 365 Primary & Urgent Care Wake Forest
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP OPERATIONS)
(919) 350-6045
Entity
Organization
Contact information
Practice address
2001 S MAIN ST STE 200, WAKE FOREST, NC 27587-1652
(919) 235-6540
(919) 235-6504
Mailing address
2001 S MAIN ST STE 200, WAKE FOREST, NC 27587-1652
(919) 235-6540
(919) 235-6504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/20/2020
Last updated
01/05/2022
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