Organization
WAKEMED FACULTY PRACTICE PLAN
Active
Parent organization
WAKEMED FACULTY PRACTICE PLAN
Other names
WakeMed Faculty Physicians - Intensivists - Cary
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKEMED FACULTY PRACTICE PLAN
Authorized official
DR. SUSAN TUCKER WEAVER M.D. (SENIOR VICE PRESIDENT)
(919) 350-8228
Entity
Organization
Contact information
Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-2300
Mailing address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-2300
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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