Organization
WAKE SPECIALTY PHYSICIANS LLC
Active
Other names
WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL DUFFEY (EXECUTIVE DIRECTOR FINANCE)
(919) 350-8000
Entity
Organization
Contact information
Practice address
2400 N MAIN ST, FUQUAY VARINA, NC 27526-8573
(919) 350-8000
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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