| NPI | 1710434691 |
|---|---|
| Doing Business As | WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT |
| Doing Business As | WAKEMED PEDIATRIC WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARIA JAYOUSSI Executive Director, Finance 919-350-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2018-06-16 |