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Organization

WAKEMED SPECIALISTS GROUP, LLC

Active
Other names
Triangle Sinus Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
(919) 350-6089
Entity
Organization

Contact information

Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 766-8989
(919) 766-8896
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-0552
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
207YX0602X
Otolaryngic Allergy Physician

Other

Enumeration date
05/03/2019
Last updated
05/03/2019
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