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WAKEMED SPECIALISTS GROUP LLC NPI 1801450283


NPI Information

NPI: 1801450283
Provider Name: WAKEMED SPECIALISTS GROUP, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3713 BENSON DR
RALEIGH, NC
ZIP 27609
Phone: (919) 235-3400
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WAKEMED SPECIALISTS GROUP, LLC is a vascular surgery surgery in Raleigh, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WAKEMED SPECIALISTS GROUP, LLC NPI is 1801450283. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3713 BENSON DR
RALEIGH, NC
ZIP 27609-371
Phone: (919) 235-3400
Fax: (919) 235-3401

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director Of Finance and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 5/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

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: 4/28/2024

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