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Organization
UNC PHYSICIANS NETWORK, LLC
Active
Organization
UNC PHYSICIANS NETWORK, LLC
Active
Other names
UNC Family Medicine and Pediatrics at Wakefield, Rex Family Practice of Wakefield
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE CHRISTINE FISCUS MD (CMO)
(984) 215-4111
Entity
Organization
Contact information
Practice address
11200 GOVERNOR MANLY WAY STE 205, RALEIGH, NC 27614-7367
(919) 570-7700
(919) 570-7701
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376841874
—
NC
Enumeration date
03/08/2011
Last updated
01/16/2025
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