Organization
WAKE SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A STIRMAN JR. (MANAGING PARTNER)
(919) 876-2010
Entity
Organization
Contact information
Practice address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 876-2010
(919) 954-0555
Mailing address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 876-2010
(919) 954-0555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02870
BCBS
NC
05
—
89-02870
—
NC
Enumeration date
07/28/2005
Last updated
07/21/2022
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