OrganizationActive
Wakemed Specialists Group, LLC
NPI 1962067314 · Pediatric Obesity Medicine Physician · Raleigh, NC
Provider details
- NPI number
- 1962067314
- Entity type
- Organization
- Primary specialty
- Pediatric Obesity Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Maria Jayoussi, Executive Director of Finance
Practice location
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone: (919) 235-6439
Fax: (919) 231-0314
Mailing address
Po Box 603949
Charlotte, NC 28260-3949
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.