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Organization

WAKE SPECIALTY PHYSICIANS LLC

Active
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Organization

WAKE SPECIALTY PHYSICIANS LLC

Active
Other names
WakeMed Primary Care Employee Health
Organization subpart
No

Provider details

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

Contact information

Practice address
3020 NEW BERN AVE, RALEIGH, NC 27610-1215
(919) 350-8284
(919) 350-5701
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0554

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
05/14/2014
Last updated
08/08/2019
About Stedi
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