Organization
WAKE MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YLONDA S HICKS (BILLING COORDINATOR)
(919) 881-7770
Entity
Organization
Contact information
Practice address
3406 SIX FORKS RD, RALEIGH, NC 27609-7234
(919) 881-7770
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9400607
NC
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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