| Cary Adult Medicine Pllc | |
|
930 Se Cary Parkway Suite 200 Cary NC 27518 | |
| (919) 859-2566 | |
| Not Available |
| Full Name | Cary Adult Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 930 Se Cary Parkway, Cary, North Carolina |
| Authorized Official Name and Position | Robert John Resnik (DIRECTOR) |
| Authorized Official Contact | 9198592566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cary Adult Medicine Pllc 930 Se Cary Parkway Suite 200 Cary NC 27518 Ph: (919) 859-2566 | Cary Adult Medicine Pllc 930 Se Cary Parkway Suite 200 Cary NC 27518 Ph: (919) 859-2566 |
| NPI Number | 1336227958 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062517352 |
|---|---|
| Medicare Enrollment ID | O20070416000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336227958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 38831 (North Carolina) | Primary |
| Provider Name | Robert J Resnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346209400 PECOS PAC ID: 4789661828 Enrollment ID: I20040706001364 |
| Provider Name | Laura C Lisicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508083536 PECOS PAC ID: 1254561988 Enrollment ID: I20140225002035 |
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