| NPI | 1336704766 | 
|---|---|
| Other Name | WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY | 
| Entity Type | Organization | 
| Authorized Contact | MARIA JAYOUSSI Executive Director Of Finance 919-350-6089  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology | 
| Enumeration Date | 2019-05-01 | 
| Last Update Date | 2019-08-19 |