Organization · Type 2 NPI

Wakehealth Medical Group, Pa.

Specialist · Raleigh, NC

NPI number 1619276318 Active

Practice location

13200 New Falls Of Neuse Rd, Ste 113
Raleigh, NC 27614-8239

Fax (919) 554-6756

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X138957 (NC)

Specialist: 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.

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About NPI 1619276318

Wakehealth Medical Group, Pa.'s National Provider Identifier is 1619276318, issued on Mar 21, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 4, 2012.