# WAKEFIELD MEDICAL SPECIALTY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417199811
- **Authorized official:** MRS. ASHLEY SHEARIN (OWNER)
- **Authorized official phone:** (919) 570-5277

## Contact information

- **Practice address:** 123 CAPCOM AVE STE 3, WAKE FOREST, NC 27587-6517
- **Practice address phone:** (919) 570-5277
- **Practice address fax:** (919) 570-5377
- **Mailing address:** 123 CAPCOM AVE, SUITE 3, WAKE FOREST, NC 27587-6517
- **Mailing address phone:** (919) 570-5277
- **Mailing address fax:** (919) 570-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 09/14/2016