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Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Corporate Health Services
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
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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