Organization
WAKE MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS W GILLIKIN MD, MBA (CONSULTANT)
(252) 353-7162
Entity
Organization
Contact information
Practice address
4505 FAIR MEADOWS LN, RALEIGH, NC 27607-6465
(919) 571-4391
(919) 571-8968
Mailing address
PO BOX 30696, GREENVILLE, NC 27833-0696
(252) 353-7162
(252) 353-1760
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
31614
NC
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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