Healthcare Provider Details

I. General information

NPI: 1124304282
Provider Name (Legal Business Name): REBECCA WADLINGER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6760
US

IV. Provider business mailing address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6760
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-8120
  • Fax:
Mailing address:
  • Phone: 919-385-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS019019
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT004794
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT017975
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2019-00857
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2019-00857
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: