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Organization
WAKE HEALTH SERVICES, INC.
Active
Organization
WAKE HEALTH SERVICES, INC.
Active
Other names
Same Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SWEENEY (CREDENTIALING AND ENROLLMENT SPECIA)
(919) 573-8539
Entity
Organization
Contact information
Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 573-8539
Mailing address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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