Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REVICKI PERRY (SLED)
(919) 350-8000
Entity
Organization
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-5318
(919) 350-7093
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
07/23/2025
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