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Contact Information

WAKE SPECIALTY PHYSICIANS, LLC
3024 NEW BERN AVE
RALEIGH, NC27610-1247
 Phone: 919-350-6002
 Fax: 919-350-6003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for WAKE SPECIALTY PHYSICIANS LLC · (Female)

NPI Number 1336550375
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2014
Last updated 09/12/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 1942440375
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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