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Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
WakeMed Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP OPERATIONS)
(919) 350-6045
Entity
Organization
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 859-1136
(919) 859-4240
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386209633
—
NC
Enumeration date
05/02/2019
Last updated
04/05/2021
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