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Organization

WAYNE HEALTH SURGICAL ASSOCIATES

Active
Parent organization
WAYNE HEALTH PHYSICIANS
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAYNE HEALTH PHYSICIANS
Authorized official
MR. CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR)
(919) 587-4081
Entity
Organization

Contact information

Practice address
2811 MCLAMB PL, GOLDSBORO, NC 27534-1647
(919) 738-4114
(919) 587-0775
Mailing address
PO BOX 1717, GOLDSBORO, NC 27533-1717
(919) 734-1141
(919) 587-0775

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
03/19/2013
Last updated
12/10/2015
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