Organization
WAKEMED SPECIALISTS GROUP, LLC
Active
Other names
WakeMed Urogynecology
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA LYNN BRINK (VP, WPP)
(919) 350-6045
Entity
Organization
Contact information
Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 235-6509
(919) 235-6591
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/15/2022
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