Wakemed Specialists Group LLC
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Raleigh, NC. Organization (NPI-2).
NPI number1003751900
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1003751900
- Entity type
- Organization (NPI-2)
- Legal business name
- Wakemed Specialists Group LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 20, 2026
- Last updated
- Apr 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – |
Other names
- Wakemed Children'S -Pediatric Neurology (Doing Business As)
Practice location
23 Sunnybrook RdRaleigh, NC 27610-1855
Phone 919-350-8000
Mailing address
Po Box 808800Kansas City, MO 64180-8800
Phone 877-498-4490 · Fax 919-350-7687
Authorized official
Karen Revicki Perry
Executive Director Operations Wpp
9193509713
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