Organization
WAKE EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RALEY MD (ADMINISTRATOR)
(919) 859-3373
Entity
Organization
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 736-1110
Mailing address
PO BOX 890053, CHARLOTTE, NC 28289-0053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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