# WAKE MEDICAL ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720192651
- **Authorized official:** MR. MARCUS W GILLIKIN MD, MBA (CONSULTANT)
- **Authorized official phone:** (252) 353-7162

## Contact information

- **Practice address:** 4505 FAIR MEADOWS LN, RALEIGH, NC 27607-6465
- **Practice address phone:** (919) 571-4391
- **Practice address fax:** (919) 571-8968
- **Mailing address:** PO BOX 30696, GREENVILLE, NC 27833-0696
- **Mailing address phone:** (252) 353-7162
- **Mailing address fax:** (252) 353-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 31614 | NC | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020