Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
WakeMed Cary Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
(919) 350-6089
Entity
Organization
Contact information
Practice address
300 KEISLER DR, CARY, NC 27518-7083
(919) 233-0059
(919) 233-0343
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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