| Wakemed Mycare 365 Primary & Urgent Care Wake Forest | |
|
2001 S Main St Ste 200 Wake Forest NC 27587-1652 | |
| (919) 350-0365 | |
| (919) 235-1307 |
| Full Name | Wakemed Mycare 365 Primary & Urgent Care Wake Forest |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2001 S Main St Ste 200, Wake Forest, North Carolina |
| Authorized Official Name and Position | Shondra Lynn Brink (VP, WPP OPERATIONS) |
| Authorized Official Contact | 9193506045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Mycare 365 Primary & Urgent Care Wake Forest Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0552 | Wakemed Mycare 365 Primary & Urgent Care Wake Forest 2001 S Main St Ste 200 Wake Forest NC 27587-1652 Ph: (919) 350-0365 |
| NPI Number | 1245820091 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245820091 | NPI | - | NPPES |
| 1346852407 | Medicaid | NC |
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