| Wakemed Internal Medicine - Raleigh | |
|
3000 New Bern Ave Raleigh NC 27610-1231 | |
| (919) 350-8000 | |
| Not Available |
| Full Name | Wakemed Internal Medicine - Raleigh |
|---|---|
| Speciality | Family Medicine |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Karen Revicki Perry (SERVICE LINE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9193508000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Internal Medicine - Raleigh Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0554 | Wakemed Internal Medicine - Raleigh 3000 New Bern Ave Raleigh NC 27610-1231 Ph: (919) 350-8000 |
| NPI Number | 1891489118 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891489118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
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