Organization
INTERNAL MEDICINE OF WAKEFIELD
Active
Organization
INTERNAL MEDICINE OF WAKEFIELD
Active
Other names
C/O LAVINIA REYES MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVINIA T REYES M.D. (OWNER/PRESIDENT)
(919) 556-5063
Entity
Organization
Contact information
Practice address
11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
(919) 435-6111
(919) 435-6113
Mailing address
12200 PAWLEYS MILL CIR, RALEIGH, NC 27614-7976
(919) 556-5063
(919) 435-6113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
11/10/2014
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