Organization · Type 2 NPI
Wakemed Specialists Group LLC
Plastic and Reconstructive Surgery Physician · Raleigh, NC
NPI number
1821736075
Active
Practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1821736075
Wakemed Specialists Group LLC's National Provider Identifier is 1821736075, issued on May 26, 2022. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Raleigh, NC. The record was last updated on May 26, 2022.