| NPI | 1871052597 |
|---|---|
| Doing Business As | WAKEMED PRIMARY CARE KILDAIRE FARM ROAD |
| Entity Type | Organization |
| Authorized Contact | MARIA JAYOUSSI Executive Director Of Finance 919-350-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-08-08 |