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Organization

WAKE OPHTHALMOLOGY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTY ROBERTSON MOORE (OFFICE MANAGER)
(919) 467-4500
Entity
Organization

Contact information

Practice address
105 SW CARY PKWY, SUITE 200, CARY, NC 27511-5600
(919) 467-4500
(919) 460-9339
Mailing address
105 SW CARY PKWY, SUITE 200, CARY, NC 27511-5600
(919) 467-4500
(919) 460-9339

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26998
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85736
BCBS
NC
05
8985736
NC
Enumeration date
05/03/2007
Last updated
05/30/2013
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