Provider First Line Business Practice Location Address:
WAKEMED SPECIALISTS GROUP LLC
Provider Second Line Business Practice Location Address:
110 KILDAIRE PARK DR.
Provider Business Practice Location Address City Name:
CARY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-350-1508
Provider Business Practice Location Address Fax Number:
919-854-7842
Provider Enumeration Date:
09/03/2009