Organization · Type 2 NPI

Wake Specialty Physicians

Cardiovascular Disease Physician · Clayton, NC

NPI number 1942554019 Active

Practice location

555 Medical Park Pl, Suite 110
Clayton, NC 27520-2174

Call (919) 861-8939 Map

Mailing address

3000 New Bern Ave, Suite 1200
Raleigh, NC 27610-1231

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4 other providers at this address

Other cardiovascular disease physician providers in Clayton

See all in Clayton →

NPI record

NPI: 1942554019
Entity type: Organization (Type 2)
Issued: Oct 29, 2012
Last updated: Oct 29, 2012
Status: Active
Subpart: Yes of Wake Specialty Physicians

Other names

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Wsp-Raleigh Cardiology · doing business as

Authorized official

Dr. Susan Tucker Weaver, MD
Executive Vice President
(919) 350-8228

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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 1942554019

Wake Specialty Physicians's National Provider Identifier is 1942554019, issued on Oct 29, 2012. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Clayton, NC. The record was last updated on Oct 29, 2012.