Organization · Type 2 NPI

Wakemed Faculty Practice Plan

Surgery Physician · Raleigh, NC

NPI number 1396791786 Active

Practice location

3024 New Bern Ave, Suite 300
Raleigh, NC 27610-1247

Call (919) 350-8228 Map

Fax (919) 350-7976

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Surgery Physician Primary 208600000XNone listed
Urology Physician 208800000XNone listed
Hospitalist Physician 208M00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1396791786

Wakemed Faculty Practice Plan's National Provider Identifier is 1396791786, issued on May 26, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 9, 2009.