Wakemed Faculty Practice Plan

NPI #1831485648 in Cary, North Carolina

Provider Information

NPI Number: 1831485648
Entity Type: Organization
Organization Name: Wakemed Faculty Practice Plan
Subpart: Yes (part of a larger organization)
Parent Organization: WAKEMED FACULTY PRACTICE PLAN
Primary Specialty: Hospitalist
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 1900 KILDAIRE FARM RD
City: Cary
State: North Carolina
ZIP Code: 27518-6616
Phone: (919) 350-2300

Authorized Official

Name: DR. SUSAN TUCKER WEAVER, M.D.
Title: SENIOR VICE PRESIDENT
Phone: (919) 350-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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