Organization
CEDAR OAKS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDAR OAKS CLINIC (CLINIC)
(919) 529-5920
Entity
Organization
Contact information
Practice address
1748 HERITAGE CENTER DR STE 101, WAKE FOREST, NC 27587-9855
(919) 332-8969
Mailing address
1748 HERITAGE CENTER DR STE 101, WAKE FOREST, NC 27587-9855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/17/2021
Last updated
02/01/2022
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