| NPI | 1962067314 |
|---|---|
| Other Name | WAKEMED CHILDRENS PEDIATRIC WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARIA JAYOUSSI Executive Director Of Finance 919-350-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-08-19 |