# WAKE SPECIALTY PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WakeMed MyCare 365 Primary & Urgent Care Ten-Ten
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568197523
- **Authorized official:** SHONDRA LYNN BRINK (VP, WPP)
- **Authorized official phone:** (919) 350-6045

## Contact information

- **Practice address:** 7750 TEN TEN RD, RALEIGH, NC 27603
- **Practice address phone:** (919) 350-0365
- **Mailing address:** PO BOX 602195, CHARLOTTE, NC 28260-2195
- **Mailing address phone:** (919) 350-0554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2022
- **Last updated:** 07/22/2022