| Wakemed Primary Care Downtown Raleigh | |
|
150 E Davie St Raleigh NC 27601-1806 | |
| (919) 834-5299 | |
| (919) 350-9820 |
| Full Name | Wakemed Primary Care Downtown Raleigh |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 E Davie St, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Primary Care Downtown Raleigh Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0554 | Wakemed Primary Care Downtown Raleigh 150 E Davie St Raleigh NC 27601-1806 Ph: (919) 834-5299 |
| NPI Number | 1699186619 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699186619 | NPI | - | NPPES |
| 1699186619 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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