Wake Family Medicine PC
NPI #1215162466 in Cary, North Carolina
Provider Information
- NPI Number
- 1215162466
- Entity Type
- Organization
- Organization Name
- Wake Family Medicine PC
- Primary Specialty
- General Practice
- Enumeration Date
- May 18, 2009
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 1831 LAKE PINE DR STE 200
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27511-6050
- Phone
- (919) 380-1849
Authorized Official
- Name
- DR. MRINALINI SUJALA KODUMAGULLA, MD
- Title
- OWNER/PHYSICAN
- Phone
- (919) 395-3491
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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