| Wakemed Mycare 365 Primary & Urgent Care Wake Forest | |
|
2001 S Main St Ste 200 Wake Forest NC 27587-1652 | |
| (919) 235-6540 | |
| (919) 235-6504 |
| Full Name | Wakemed Mycare 365 Primary & Urgent Care Wake Forest |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 S Main St Ste 200, Wake Forest, North Carolina |
| Authorized Official Name and Position | Shondra Lynn Brink (VP 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 2001 S Main St Ste 200 Wake Forest NC 27587-1652 Ph: (919) 235-6540 | Wakemed Mycare 365 Primary & Urgent Care Wake Forest 2001 S Main St Ste 200 Wake Forest NC 27587-1652 Ph: (919) 235-6540 |
| NPI Number | 1346852407 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346852407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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