NPI 1720192651
Wake Medical Associates, P.A.
Practice location
- Address
- 4505 Fair Meadows Ln, Raleigh, NC 27607-6465
- Phone
- (919) 571-4391
- Fax
- (919) 571-8968
- Mailing address
- PO Box 30696, Greenville, NC 27833-0696
Authorised official
- Name
- Marcus W Gillikin
- Title
- Consultant
- Phone
- (252) 353-7162
Registered specialties
Public Health & General Preventive Medicine Physician
Primary
Registry record
- NPI
- 1720192651
- Entity type
- Organization
- NPI issued
- 18 Aug 2006
- Record last updated
- 22 Aug 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.