Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Hematology & Medical Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REVICKI PERRY (SLED)
(919) 350-8000
Entity
Organization
Contact information
Practice address
23 SUNNYBROOK RD STE 200, RALEIGH, NC 27610-1855
(919) 350-8000
(919) 350-7204
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
07/23/2025
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