Provider Demographics
NPI:1154888154
Name:WWC MEDICAL PLLC
Entity type:Organization
Organization Name:WWC MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHEATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:919-322-0045
Mailing Address - Street 1:7800 FALLS OF NEUSE RD
Mailing Address - Street 2:99511
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-9998
Mailing Address - Country:US
Mailing Address - Phone:919-322-0045
Mailing Address - Fax:919-322-0045
Practice Address - Street 1:7800 FALLS OF NEUSE RD
Practice Address - Street 2:#99511
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-9998
Practice Address - Country:US
Practice Address - Phone:919-322-0045
Practice Address - Fax:919-322-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty