| Wake Specialty Physicians Llc | |
|
400 Us Highway 70 East Garner NC 27529-4049 | |
| (919) 235-6400 | |
| (919) 350-9835 |
| Full Name | Wake Specialty Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Us Highway 70 East, Garner, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Specialty Physicians Llc Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0552 | Wake Specialty Physicians Llc 400 Us Highway 70 East Garner NC 27529-4049 Ph: (919) 235-6400 |
| NPI Number | 1346501673 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346501673 | NPI | - | NPPES |
| 1346501673 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Wake Specialty Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16126 Nc Hwy 50 North, Garner, NC 27529 Phone: 919-350-0365 |