| Southern Wake Medical Center | |
|
415 Wake Chapel Rd Fuquay Varina NC 27526-1956 | |
| (919) 552-9143 | |
| Not Available |
| Full Name | Southern Wake Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Wake Chapel Rd, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Donna M Yowell (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9195574319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Wake Medical Center 409-415 Wake Chapel Rd Fuquay Varina NC 27526 Ph: (919) 552-9143 | Southern Wake Medical Center 415 Wake Chapel Rd Fuquay Varina NC 27526-1956 Ph: (919) 552-9143 |
| NPI Number | 1568526812 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568526812 | NPI | - | NPPES |
| 7902981 | Medicaid | NC | |
| 02981 | Other | NC | GROUP NUMBER BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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