| Cary Thmd, Pllc | |
|
204 Davis Grove Cir Suite 103 Cary NC 27519-2581 | |
| (919) 436-3777 | |
| Not Available |
| Full Name | Cary Thmd, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 204 Davis Grove Cir, Cary, North Carolina |
| Authorized Official Name and Position | Martin Van Cleeff (SOLE MBR) |
| Authorized Official Contact | 9197200682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cary Thmd, Pllc 204 Davis Grove Cir Suite 103 Cary NC 27519-2581 Ph: (919) 436-3777 | Cary Thmd, Pllc 204 Davis Grove Cir Suite 103 Cary NC 27519-2581 Ph: (919) 436-3777 |
| NPI Number | 1437550845 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437550845 | NPI | - | NPPES |
| 9500470 | Other | NC | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9500470 (North Carolina) | Primary |
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