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Organization
WAKE SPECIALTY PHYSICIANS LLC
Active
Organization
WAKE SPECIALTY PHYSICIANS LLC
Active
Other names
WakeMed Center for Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REVICKI PERRY (SERVICE LINE EXECUTIVE DIRECTOR)
(919) 350-8000
Entity
Organization
Contact information
Practice address
2600 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 350-8000
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/12/2022
Last updated
07/23/2025
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