Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
Western Wake Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP OPERATIONS)
(919) 350-6045
Entity
Organization
Contact information
Practice address
115 PARKWAY OFFICE CT, CARY, NC 27518-7430
(919) 859-4747
(919) 859-4757
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
(919) 350-7867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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