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Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Mobile Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-2800
(919) 350-5701
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2800
(919) 350-5701
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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