# WAKE ENDOSCOPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wake Endoscopy Center - Cary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639058662
- **Authorized official:** ASHLEY RENEE HEWLIN (PRACTICE IMPLEMENTATION MANAGER)
- **Authorized official phone:** (919) 341-3623

## Contact information

- **Practice address:** 929 KILDAIRE FARM RD STE 105, CARY, NC 27511-3922
- **Practice address phone:** (919) 341-3544
- **Practice address fax:** (919) 341-3553
- **Mailing address:** PO BOX 18563, RALEIGH, NC 27619-8563
- **Mailing address phone:** (919) 341-3544
- **Mailing address fax:** (919) 341-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2025
- **Last updated:** 09/02/2025