OrganizationActive
Wakemed Specialists Group, LLC
NPI 1336704766 · Pediatric Gastroenterology Physician · Raleigh, NC
Provider details
- NPI number
- 1336704766
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Jayoussi, Executive Director of Finance(919) 350-6089
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone: (919) 235-6435
Fax: (919) 231-0314
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 603949
Charlotte, NC 28260-3949
Other names (DBA / former)
- Other name
- Wakemed Childrens Pediatric Gastroenterology
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.