| Eastern Wake Internal Medicine | |
|
323 Hospital Road Zebulon NC 27597-2542 | |
| (919) 269-9111 | |
| (919) 269-7630 |
| Full Name | Eastern Wake Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 323 Hospital Road, Zebulon, North Carolina |
| Authorized Official Name and Position | Dean Dewayne Blakeley (PRESIDENT/OWNER) |
| Authorized Official Contact | 9192699111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Wake Internal Medicine 323 Hospital Road Zebulon NC 27597-2542 Ph: (919) 269-9111 | Eastern Wake Internal Medicine 323 Hospital Road Zebulon NC 27597-2542 Ph: (919) 269-9111 |
| NPI Number | 1982915369 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 0244355097 |
|---|---|
| Medicare Enrollment ID | O20100916000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982915369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0035588 (North Carolina) | Primary |
| Provider Name | Dean D Blakeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376619783 PECOS PAC ID: 7719072032 Enrollment ID: I20071002000495 |
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