| NPI | 1326394990 |
|---|---|
| Doing Business As | WAKEMED PHYSICIAN PRACTICES PRIMARY CARE FUQUAY VARINA |
| Entity Type | Organization |
| Authorized Contact | MARIA JAYOUSSI Executive Director Finance 919-350-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2019-08-08 |