WAKEHEALTH MEDICAL GROUP PA. NPI 1619276318

NPI Information

WAKEHEALTH MEDICAL GROUP, PA. is a specialist in Raleigh, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WAKEHEALTH MEDICAL GROUP, PA. NPI is 1619276318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13200 NEW FALLS OF NEUSE RD
STE 113
RALEIGH, NC
ZIP 27614-239
Phone: (919) 554-6754
Fax: (919) 554-6756

The provider's authorized official is Debbie Lefferts .
The authorized official title is Office Manager and has the following contact phone number (919) 554-6754.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 9/4/2012.

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:

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