OrganizationActive
Wake Specialty Physicians LLC
NPI 1710434691 · Pediatric Obesity Medicine Physician · Raleigh, NC
Provider details
- NPI number
- 1710434691
- Entity type
- Organization
- Primary specialty
- Pediatric Obesity Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Maria Jayoussi, Executive Director, Finance
Practice location
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone: (919) 350-6439
Fax: (919) 231-0314
Mailing address
Po Box 602195
Charlotte, NC 28260-2195
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.