NPI 1588216253

Wake Specialty Physicians, LLC

Organisation Pediatrics Physician Clayton, NC

Practice location

Address: 204 Medspring Dr, Clayton, NC 27520-9293
Phone: (919) 235-6505
Fax: (919) 350-8147
Mailing address: PO Box 602195, Charlotte, NC 28260-2195

Authorised official

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

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in North Carolina →

Registry record

NPI: 1588216253
Entity type: Organization
NPI issued: 12 Jul 2019
Record last updated: 12 Dec 2019

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.