| Wakelon Internal Medicine Pllc | |
|
301 Hospital Road Zebulon NC 27597 | |
| (919) 269-0390 | |
| (919) 269-6868 |
| Full Name | Wakelon Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Hospital Road, Zebulon, North Carolina |
| Authorized Official Name and Position | Shelly Lorraine West (MD) |
| Authorized Official Contact | 9192690390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakelon Internal Medicine Pllc 301 Hospital Road Zebulon NC 27597 Ph: (919) 269-0390 | Wakelon Internal Medicine Pllc 301 Hospital Road Zebulon NC 27597 Ph: (919) 269-0390 |
| NPI Number | 1861564924 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861564924 | NPI | - | NPPES |
| 127GV | Other | NC | BC |
| 2022572 | Other | NC | UNITED HEALTH CARE |
| 89127GV | Medicaid | NC | |
| 2077334 | Other | NC | FIRST HEALTH |
| P00255758 | Other | NC | RR MEDICARE |
| 7632748 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200001025 (North Carolina) | Primary |
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