WAKE FAMILY MEDICINE PC is a general practice in Cary, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee WAKE FAMILY MEDICINE PC NPI is 1215162466. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1831 LAKE PINE DR STE 200
CARY, NC
ZIP 27511-050
Phone: (919) 380-1849
Fax: (919) 380-1851
The provider's authorized official is Mrinalini Sujala Kodumagulla .
The authorized official title is Owner/physican and has the following contact phone number (919) 395-3491.
The CLIA number assigned to this NPI record is 34D1099332 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/18/2009 and was last updated on 9/30/2019.