Wake Specialty Physicians

NPI #1396000188 in Morrisville, North Carolina

Provider Information

NPI Number: 1396000188
Entity Type: Organization
Organization Name: Wake Specialty Physicians
Subpart: Yes (part of a larger organization)
Parent Organization: WAKE SPECIALTY PHYSICIANS
Primary Specialty: Family Medicine
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 6102 GRACE PARK DR
City: Morrisville
State: North Carolina
ZIP Code: 27560-6003
Phone: (919) 235-6405

Authorized Official

Name: DR. SUSAN TUCKER WEAVER, MD
Title: EXECUTIVE VICE PRESIDENT
Phone: (919) 350-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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