NPI 1063076453

Wakemed Specialists Group LLC

Organisation Obstetrics & Gynecology Physician Raleigh, NC

Practice location

Address: 3024 New Bern Ave, Raleigh, NC 27610-1247
Phone: (919) 350-1380
Fax: (919) 556-0124
Mailing address: PO Box 603949, Charlotte, NC 28260-3949

Authorised official

Name: Karen Revicki Perry
Title: Sled
Phone: (919) 350-8000

Registered specialties (3)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in North Carolina →

Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X

Obstetrics Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X

Registry record

NPI: 1063076453
Entity type: Organization
NPI issued: 1 May 2019
Record last updated: 23 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.