Organization
NORTH WAKE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (CREDENTIALING MANAGER)
(336) 932-3506
Entity
Organization
Contact information
Practice address
701 EXPOSITION PL STE 202, RALEIGH, NC 27615-3359
(919) 848-2167
(919) 848-2168
Mailing address
PO BOX 12160, BELFAST, ME 04915-4012
(919) 848-2167
(919) 848-2168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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