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

Wake Specialty Physicians LLC

Organization Pediatrics Physician · NPI 1710434691

Wake Specialty Physicians LLC is a Pediatrics Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone: (919) 350-6439
Fax: (919) 231-0314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Obesity Medicine Physician (primary) Taxonomy 2080B0002X (NC)
Pediatrics Physician Taxonomy 208000000X (NC)

Record details

NPI number1710434691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director, Finance · (919) 350-6089
Other names Wakemed Pediatric Weight Management; Wakemed Physician Practices Pediatric Weight Management
NPI enumeratedSeptember 8, 2016
Last updated in NPPESJune 16, 2018
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

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