| NPI | 1245820091 |
|---|---|
| Doing Business As | WAKEMED MYCARE 365 PRIMARY & URGENT CARE WAKE FOREST |
| Entity Type | Organization |
| Authorized Contact | SHONDRA LYNN BRINK VP, Wpp Operations 919-350-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-28 |