Western Wake Internal Medicine

NPI #1811209901 in Cary, North Carolina

Provider Information

NPI Number
1811209901
Entity Type
Organization
Organization Name
Western Wake Internal Medicine
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jul 6, 2010
Last Updated
Jul 6, 2010

Practice Location

Address
907 KILDAIRE FARM RD
City
Cary
ZIP Code
27511-3922
Phone
(919) 319-6610

Authorized Official

Name
KENNY HEINE
Title
SR DIRECTOR OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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