NPI 1063823003

Wake Specialty Physicians, LLC

Organisation Otolaryngology Physician Raleigh, NC

Practice location

Address: 3024 New Bern Ave, Raleigh, NC 27610-1247
Phone: (919) 350-7856
Fax: (919) 350-1635
Mailing address: PO Box 602195, Charlotte, NC 28260-2195

Authorised official

Name: Maria Jayoussi
Title: Executive Director Finance
Phone: (919) 360-6089

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in North Carolina →

Registry record

NPI: 1063823003
Entity type: Organization
NPI issued: 13 May 2014
Record last updated: 12 Sep 2016

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.