Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Mobile Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-2800
(919) 350-5701
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2800
(919) 350-5701
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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