Organization · Type 2 NPI

Wake Specialty Physicians LLC

Durable Medical Equipment & Medical Supplies · Wake Forest, NC

NPI number 1245820091 Active

Practice location

2001 S Main St Ste 200
Wake Forest, NC 27587-1652

Call (919) 350-0365 Map

Fax (919) 235-1307

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Another provider at this address

Wake Specialty PhysiciansFamily Medicine Physician Wake Forest, NC NPI 1346852407

Other durable medical equipment & medical supplies providers in Wake Forest

See all in Wake Forest →

NPI record

NPI: 1245820091
Entity type: Organization (Type 2)
Issued: Jan 25, 2021
Last updated: Jan 28, 2021
Status: Active

Other names

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Wakemed Mycare 365 Primary & Urgent Care Wake Forest · doing business as
Wakemed Mycare 365 Primary & Urgent Care Wake Forest · doing business as

Authorized official

Shondra Lynn Brink
VP, WPP Operations
(919) 350-6045

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245820091

Wake Specialty Physicians LLC's National Provider Identifier is 1245820091, issued on Jan 25, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Wake Forest, NC. The record was last updated on Jan 28, 2021.