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Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Neonatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0554
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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