| Wakemed Physician Practices Primary Care Fuquay Varina | |
|
231 N Judd Pkwy Ne Fuquay Varina NC 27526-2385 | |
| (919) 235-6410 | |
| (919) 235-6411 |
| Full Name | Wakemed Physician Practices Primary Care Fuquay Varina |
|---|---|
| Speciality | Family Medicine |
| Location | 231 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Physician Practices Primary Care Fuquay Varina Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0552 | Wakemed Physician Practices Primary Care Fuquay Varina 231 N Judd Pkwy Ne Fuquay Varina NC 27526-2385 Ph: (919) 235-6410 |
| NPI Number | 1326394990 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326394990 | NPI | - | NPPES |
| 1326394990 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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