NPI 1407409543

Wakemed Specialists Group, LLC

Organisation Pediatric Pulmonology Physician Clayton, NC

Practice location

Address: 104 Medspring Dr, Clayton, NC 27520-9687
Phone: (919) 235-6535
Mailing address: PO Box 603949, Charlotte, NC 28260-3949

Authorised official

Name: Maria Jayoussi
Title: Executive Director of Finance
Phone: (919) 350-6089

Registered specialties

Pediatric Pulmonology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0214X

Other Pediatrics providers in North Carolina →

Registry record

NPI: 1407409543
Entity type: Organization
NPI issued: 18 Jul 2019
Record last updated: 6 Feb 2020

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.