| Wake Neurology Pllc | |
|
1110 Se Cary Pkwy Suite 206 Cary NC 27518-7420 | |
| (919) 463-1101 | |
| (919) 463-1110 |
| Full Name | Wake Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1110 Se Cary Pkwy, Cary, North Carolina |
| Authorized Official Name and Position | Kristy Driskell (OFFICE ADMINISTRATOR/NURSE) |
| Authorized Official Contact | 9194631101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Neurology Pllc 1110 Se Cary Pkwy Suite 206 Cary NC 27518-7420 Ph: (919) 463-1101 | Wake Neurology Pllc 1110 Se Cary Pkwy Suite 206 Cary NC 27518-7420 Ph: (919) 463-1101 |
| NPI Number | 1669547766 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669547766 | NPI | - | NPPES |
| 5903406 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2423 (North Carolina) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 200400217 (North Carolina) | Primary |
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