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Organization
WAKELON INTERNAL MEDICINE PLLC
Active
Organization
WAKELON INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY LORRAINE WEST MD (MD)
(919) 269-0390
Entity
Organization
Contact information
Practice address
301 HOSPITAL ROAD, ZEBULON, NC 27597
(919) 269-0390
(919) 269-6868
Mailing address
301 HOSPITAL ROAD, ZEBULON, NC 27597
(919) 269-0390
(919) 269-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200001025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127GV
BC
NC
01
—
2022572
UNITED HEALTH CARE
NC
01
—
2077334
FIRST HEALTH
NC
01
—
7632748
AETNA
NC
05
—
89127GV
—
NC
01
—
P00255758
RR MEDICARE
NC
Enumeration date
11/14/2006
Last updated
09/04/2007
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