Wakemed Childrens Pediatric Pulmonology

LBN: Wakemed Specialists Group, Llc
Wakemed Childrens Pediatric Pulmonology is an health care organization with primary practice located at 104 Medspring Dr , Clayton NC 27520-9687. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as the primary health care specialty. Wakemed Specialists Group, Llc can be contacted via phone (919) 235-6535, or through Jayoussi, Maria via phone (919) 350-6089.

Contact Information

Primary practice address
104 Medspring Dr Clayton NC 27520-9687
Phone: (919) 235-6535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-6089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X

Profile Details

NPI number 1407409543
LBN Legal business name Wakemed Specialists Group, Llc
DBA Doing business as Wakemed Childrens Pediatric Pulmonology
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2019
Last updated Feb 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407409543 NPPES
North Carolina MEDICAID 1407409543

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