Western Wake Surgical Pc

LBN: Western Wake Surgical Pc
Western Wake Surgical Pc is an health care organization with primary practice located at 155 Parkway Office Ct Suite 101, Cary NC 27518-7427. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Western Wake Surgical Pc can be contacted via phone (919) 859-4747, or through Davis, Debra L via phone (919) 859-4747.

Contact Information

Primary practice address
155 Parkway Office Ct Suite 101 Cary NC 27518-7427
Fax: (919) 859-4757
Website:
Authorized official contact:
Name: Davis, Debra L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 73992 North Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 73992 North Carolina

Profile Details

NPI number 1811166549
LBN Legal business name Western Wake Surgical Pc
DBA Doing business as
Authorized official Davis, Debra L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Sep 16th, 2011 - about 13 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 1811166549 NPPES
North Carolina Other 1295Y BCBS
North Carolina MEDICAID 891295Y BCBS

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