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Organization

COUNTY OF WAKE

Active
Other names
Wake County Public Health, WAKE COUNTY HEALTH DEPT
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA HENDERSON (PROVIDER CREDENTIALING COORDINATOR)
(919) 212-7817
Entity
Organization

Contact information

Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 212-7000
(919) 250-3943
Mailing address
PO BOX 14169, RALEIGH, NC 27620-4169
(919) 212-7817
(919) 743-4705

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
251K00000X
Public Health or Welfare Agency
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07191
BCBS
NC
05
3404392
NC
Enumeration date
12/13/2006
Last updated
02/23/2026
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