Organization
WAKE HEART AND VASCULAR ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE DARKES (ADMINISTRATOR)
(919) 420-1342
Entity
Organization
Contact information
Practice address
500 REDWOOD LN, LOUISBURG, NC 27549-2678
(919) 496-3909
(919) 496-5032
Mailing address
500 REDWOOD LN, LOUISBURG, NC 27549-2678
(919) 496-3909
(919) 496-5032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02029
BCBS
NC
01
—
230473
MEDICARE GROUP
NC
05
—
7902029
—
NC
Enumeration date
08/22/2007
Last updated
07/14/2009
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