Organization
WAKE SPECIALTY PHYSICIANS, LLC
Active
Other names
WPP Harnett Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR)
(919) 350-0554
Entity
Organization
Contact information
Practice address
803 TILGHMAN DR, DUNN, NC 28334-6694
(910) 892-1550
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-1015
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
07/03/2014
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