Organization · Type 2 NPI

Wake Specialty Physicians LLC

Family Medicine Physician · Garner, NC

NPI number 1467255356 Active

Practice location

16126 Nc Hwy 50 North
Garner, NC 27529

Call (919) 350-0365 Map

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Garner

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NPI record

NPI: 1467255356
Entity type: Organization (Type 2)
Issued: Mar 28, 2025
Last updated: Mar 28, 2025
Status: Active

Other names

Wakemed Mycare 365 Primary & Urgent Care Middle Creek · doing business as

Authorized official

Karen Revicki Perry
Executive Director Operations WPP
(919) 350-8000

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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 1467255356

Wake Specialty Physicians LLC's National Provider Identifier is 1467255356, issued on Mar 28, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Garner, NC. The record was last updated on Mar 28, 2025.