Organization
WAKEMED FACULTY PRACTICE PLAN
Active
Parent organization
WAKEMED FACULTY PRACTICE PLAN
Other names
WakeMed Faculty Physicians - Raleigh Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKEMED FACULTY PRACTICE PLAN
Authorized official
DR. SUSAN TUCKER WEAVER M.D. (SENIOR VICE PRESIDENT)
(919) 350-8228
Entity
Organization
Contact information
Practice address
3000 NEW BERN AVE, SUITE 1200, RALEIGH, NC 27610-1245
(919) 231-6132
(919) 231-6276
Mailing address
3000 NEW BERN AVE, SUITE 1200, RALEIGH, NC 27610-1245
(919) 231-6132
(919) 231-6276
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/31/2010
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