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Wakemed Specialists Group, LLC — NPI 1407409543, Clayton, NC | NPI Central

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NPI 1407409543

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Wakemed Specialists Group, LLC

NPI 1407409543 · Pediatric Pulmonology Physician · Clayton, NC

Provider details

NPI number: 1407409543
Entity type: Organization
Primary specialty: Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Maria Jayoussi, Executive Director of Finance(919) 350-6089

Specialties & taxonomies

Pediatric Pulmonology PhysicianPrimary2080P0214X
Allopathic & Osteopathic Physicians

Practice location

104 Medspring Dr

Clayton, NC 27520-9687

Phone: (919) 235-6535

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

Po Box 603949

Charlotte, NC 28260-3949

Other names (DBA / former)

Other name: Wakemed Childrens Pediatric Pulmonology

Registry dates

Enumerated: 2019-07-18
Last updated: 2020-02-06
Certified: 2020-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.