| Wake Specialty Physicians Llc | |
|
938 N Brightleaf Blvd Smithfield NC 27577-4331 | |
| (919) 350-8000 | |
| Not Available |
| Full Name | Wake Specialty Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 938 N Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | Michael Paul Duffey (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 9193508000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Specialty Physicians Llc Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0554 | Wake Specialty Physicians Llc 938 N Brightleaf Blvd Smithfield NC 27577-4331 Ph: (919) 350-8000 |
| NPI Number | 1922879246 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922879246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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