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
4325 LAKE BOONE TRL, 315, RALEIGH, NC 27607-7509
(919) 420-1347
(919) 787-3145
Mailing address
4325 LAKE BOONE TRL, 315, RALEIGH, NC 27607-7509
(919) 420-1347
(919) 787-3145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-016JO
—
NY
Enumeration date
07/11/2005
Last updated
07/21/2022
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