Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake Skin Cancer Center, PA

Organization MOHS-Micrographic Surgery Physician · NPI 1497211189

Wake Skin Cancer Center, PA is an MOHS-Micrographic Surgery Physician in Wake Forest, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11640 Northpark Dr Ste 200
Wake Forest, NC 27587-5741
Phone: (919) 436-4124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1497211189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elias Ayli — President · (919) 436-4124
NPI enumeratedFebruary 18, 2019
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address11640 Northpark Dr Ste 200, Wake Forest, NC 27587-5741