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WAKE SPECIALTY PHYSICIANS LLC NPI 1982339933


NPI Information

NPI: 1982339933
Provider Name: WAKE SPECIALTY PHYSICIANS LLC

Doing Business As: WAKEMED MYCARE 365 PRIMARY & URGENT CARE LOWES GROVE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2297432

Address:
2216 E NC HIGHWAY 54
DURHAM, NC
ZIP 27713
Phone: (919) 350-0365
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WAKE SPECIALTY PHYSICIANS LLC is a family medicine in Durham, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAKE SPECIALTY PHYSICIANS LLC NPI is 1982339933. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Mycare 365 Primary & Urgent Care Lowes Grove.

The provider's business location address is:

2216 E NC HIGHWAY 54
DURHAM, NC
ZIP 27713-208
Phone: (919) 350-0365

The provider's authorized official is Michael Paul Duffey .
The authorized official title is Exec Director Wpp Finanace and has the following contact phone number (919) 350-8000.

The CLIA number assigned to this NPI record is 34D2297432 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2022 and was last updated on 4/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3261QU0200XClinic/CenterUrgent CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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