Radford, Wanda Lee
Radford, Wanda Lee is an individual health care provider with primary practice located at 3100 Blue Ridge Road 300, Raleigh NC 27607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Radford, Wanda Lee can be contacted via phone (919) 781-7500.Contact Information
Primary practice address
3100 Blue Ridge Road 300
Raleigh NC 27607
Phone: (919) 781-7500
Fax: (919) 645-3440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 20184 | North Carolina |
Profile Details
| NPI number | 1851368351 |
|---|---|
| LBN Legal business name | Radford, Wanda Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Aug 14th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851368351 | NPPES |
| North Carolina | Other | 154780 | WELLPATH |
| North Carolina | MEDICAID | 89699 | WELLPATH |
| North Carolina | Other | 29643 | WELLPATH |
| North Carolina | Other | 69919 | WELLPATH |
| North Carolina | Other | 4481969 | WELLPATH |
| North Carolina | Other | 562142486 | WELLPATH |
| North Carolina | Other | 1548820004 | WELLPATH |
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