# WAKEMED SPECIALISTS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Triangle Sinus Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659936839
- **Authorized official:** MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
- **Authorized official phone:** (919) 350-6089

## Contact information

- **Practice address:** 10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
- **Practice address phone:** (919) 766-8989
- **Practice address fax:** (919) 766-8896
- **Mailing address:** 2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
- **Mailing address phone:** (919) 350-0552
- **Mailing address fax:** (919) 350-7687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019