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NPI Code Detail

MEDICARE: WAYNE RADIOLOGISTS, P.A.

MEDICARE: WAYNE RADIOLOGISTS, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085B0100XBody Imaging Physician39524NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102898OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
302898OTHERNCBCBS STATE

General Provider Information

NPI Number : 1093779621
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYNE RADIOLOGISTS, P.A.
Provider Business Mailing Address
First Line : 2700 MEDICAL OFFICE PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9460
Country : US
Telephone Number : 919-736-5300
Fax Number : 919-736-1804
Provider Business Practice Location Address
First Line : 2700 MEDICAL OFFICE PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9460
Country : US
Telephone Number : 919-736-5300
Fax Number : 919-736-1804
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. JENNIFER J PATE
Credential :
Telephone Number : 919-736-5315
Provider Enumeration Date : 04/12/2006
Last Update Date : 02/09/2026

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Directions to “WAYNE RADIOLOGISTS, P.A. ” Practice Location

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