Organization
WAKE SPECIALTY PHYSICIANS, LLC
Active
Other names
WPP UROLOGY CARY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
218 ASHVILLE AVE, CARY, NC 27518-6118
(919) 576-2330
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-1015
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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