| Wakemed Gastroenterology | |
|
3024 New Bern Ave Raleigh NC 27610-1247 | |
| (919) 350-6484 | |
| (919) 350-6003 |
| Full Name | Wakemed Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3024 New Bern Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Gastroenterology Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0552 | Wakemed Gastroenterology 3024 New Bern Ave Raleigh NC 27610-1247 Ph: (919) 350-6484 |
| NPI Number | 1235540287 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235540287 | NPI | - | NPPES |
| 1942440375 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
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