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Personalized Hematology-oncology Of Wake Forest Pllc
Hematology & Oncology Physician in Wake Forest, North Carolina
NPI 1053679944

Personalized Hematology-oncology Of Wake Forest Pllc is a Hematology & Oncology Physician based in Wake Forest, NC and is specialized in Hematology & Oncology. Personalized Hematology-oncology Of Wake Forest Pllc practices in Wake Forest, NC. The NPI Number for Personalized Hematology-oncology Of Wake Forest Pllc is 1053679944 and holds a License No. 200400833 (North Carolina).

The current practice location address for Personalized Hematology-oncology Of Wake Forest Pllc is 11635 North Park Drive, Wake Forest, NC and can be reached out via phone at 919-556-2907 and via fax at 919-435-1060.

Location: 11635 North Park Drive, Wake Forest, NC, 27587-6298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053679944
Provider Name
Personalized Hematology-oncology Of Wake Forest Pllc
Credential
Provider Entity Type
Organization
Address
11635 North Park Drive, Wake Forest, NC, 27587-6298
Phone Number
919-556-2907
Fax Number
919-435-1060
Provider Enumeration Date
04/27/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
89137UC 05 NC
137UC 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
11635 North Park Drive
City
Wake Forest
State
North Carolina
Zip
27587-6298
Phone Number
919-556-2907
Fax Number
919-435-1060
person
Provider Business Mailing Address Details
Address
11635 North Park Drive
City
Wake Forest
State
North Carolina
Zip
27587-6298
Phone Number
919-556-2907
Fax Number
919-435-1060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
200400833 (North Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
200400833 (North Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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