<Unavail>

LBN: Wake Specialty Physicians
<Unavail> is an health care organization with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wake Specialty Physicians can be contacted via phone (919) 350-0552, or through Jayoussi, Maria via phone (919) 350-6089.

Contact Information

Primary practice address
3024 New Bern Ave Raleigh NC 27610-1247
Phone: (919) 350-0552
Fax: (919) 350-7687
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-6089

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1225417132
LBN Legal business name Wake Specialty Physicians
DBA Doing business as <Unavail>
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2015
Last updated May 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225417132 NPPES
North Carolina MEDICAID 1942440375

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