Organization
WAKEHEALTH MEDICAL GROUP, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE LEFFERTS (OFFICE MANAGER)
(919) 554-6754
Entity
Organization
Contact information
Practice address
13200 NEW FALLS OF NEUSE RD, STE 113, RALEIGH, NC 27614-8239
(919) 554-6754
(919) 554-6756
Mailing address
13200 NEW FALLS OF NEUSE RD, STE 113, RALEIGH, NC 27614-8239
(919) 554-6754
(919) 554-6756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
138957
NC
Other
Enumeration date
03/21/2011
Last updated
09/04/2012
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