Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP OPERATIONS)
(919) 350-6045
Entity
Organization
Contact information
Practice address
110 KILDAIRE PARK DR STE 101, CARY, NC 27518-8162
(919) 859-1136
(919) 859-4240
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386209633
—
NC
Enumeration date
05/06/2019
Last updated
04/19/2021
Update your record
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