Wake Specialty Physicians LLC
NPI #1912478496 in Cary, North Carolina
Provider Information
- NPI Number
- 1912478496
- Entity Type
- Organization
- Organization Name
- Wake Specialty Physicians LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 10, 2018
- Last Updated
- Dec 10, 2018
Practice Location
- Address
- 530 NEW WAVERLY PL
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27518-7414
- Phone
- (919) 350-2300
Authorized Official
- Name
- MARIA JAYOUSSI
- Title
- EXEC. VP OF FINANCE
- Phone
- (919) 350-0554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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| Ian A Villanueva, M.D. |
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