Organization
WAKE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHANCE (ADMINISTRATOR)
(919) 783-4888
Entity
Organization
Contact information
Practice address
2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
(919) 783-4888
(919) 783-4887
Mailing address
2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
(919) 783-4888
(919) 783-4887
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASO111
NC
Other
Enumeration date
12/14/2009
Last updated
04/10/2024
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