| Western Wake Wellness | |
|
401 Keisler Dr Suite 101 Cary NC 27518-7084 | |
| (919) 378-1492 | |
| (919) 239-4670 |
| Full Name | Western Wake Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Keisler Dr, Cary, North Carolina |
| Authorized Official Name and Position | David Moye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9198512174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wake Wellness 5420 Wade Park Blvd Suite 106 Raleigh NC 27607-4188 Ph: (919) 233-5952 | Western Wake Wellness 401 Keisler Dr Suite 101 Cary NC 27518-7084 Ph: (919) 378-1492 |
| NPI Number | 1316280415 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316280415 | NPI | - | NPPES |
| 028FC | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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