Organization
WAKE NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY DRISKELL (OFFICE ADMINISTRATOR/NURSE)
(919) 463-1101
Entity
Organization
Contact information
Practice address
1110 SE CARY PKWY, SUITE 206, CARY, NC 27518-7420
(919) 463-1101
(919) 463-1110
Mailing address
1110 SE CARY PKWY, SUITE 206, CARY, NC 27518-7420
(919) 463-1101
(919) 463-1110
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200400217
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903406
—
NC
Enumeration date
11/22/2006
Last updated
06/27/2014
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