Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
WakeMed Wake Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL DUFFEY (EXECUTIVE DIRECTOR FINANCE)
(919) 350-8000
Entity
Organization
Contact information
Practice address
2400 N MAIN ST, FUQUAY VARINA, NC 27526-8573
(919) 232-5020
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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