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CARY ADULT MEDICINE PLLC NPI 1336227958


NPI Information

NPI: 1336227958
Provider Name: CARY ADULT MEDICINE PLLC

Former Legal Business Name: CARY ADULT AND ADOLESCENT MEDICINE PLLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D1023318

Address:
930 SE CARY PARKWAY
SUITE 200
CARY, NC
ZIP 27518
Phone: (919) 859-2566
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CARY ADULT MEDICINE PLLC is a clinic center in Cary, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CARY ADULT MEDICINE PLLC NPI is 1336227958. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cary Adult And Adolescent Medicine Pllc.

The provider's business location address is:

930 SE CARY PARKWAY
SUITE 200
CARY, NC
ZIP 27518
Phone: (919) 859-2566

The provider's authorized official is Robert John Resnik .
The authorized official title is Director and has the following contact phone number (919) 859-2566.

The CLIA number assigned to this NPI record is 34D1023318 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center38831NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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