Organization
WAKE EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER RALEY MD (MANAGING PARTNER)
(919) 859-3373
Entity
Organization
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 934-8171
(919) 336-4363
Mailing address
PO BOX 890053, CHARLOTTE, NC 28289-0053
(855) 691-9890
(919) 350-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295F
BCBS
NC
01
—
2319661A
MEDICARE
—
01
—
CD5224
RAILROAD MEDICARE
NC
Enumeration date
04/12/2019
Last updated
04/12/2019
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