Friendship Medical Center, Pa | |
400 Ashville Ave Suite 340 Cary NC 27518-6134 | |
(919) 851-6260 | |
(919) 851-6261 |
Full Name | Friendship Medical Center, Pa |
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Speciality | Internal Medicine |
Location | 400 Ashville Ave, Cary, North Carolina |
Authorized Official Name and Position | Annette L. Troy (PRESIDENT) |
Authorized Official Contact | 9198516260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Friendship Medical Center, Pa 400 Ashville Ave Suite 340 Cary NC 27518-6134 Ph: (919) 851-6260 | Friendship Medical Center, Pa 400 Ashville Ave Suite 340 Cary NC 27518-6134 Ph: (919) 851-6260 |
NPI Number | 1306038344 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 08/31/2011 |
Medicare PECOS PAC ID | 1850488529 |
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Medicare Enrollment ID | O20071026000463 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306038344 | NPI | - | NPPES |
5907783 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2004-01443 (North Carolina) | Primary |
208000000X | Pediatrics | 2004-01443 (North Carolina) | Secondary |
Provider Name | Annette L Troy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720183387 PECOS PAC ID: 3779546528 Enrollment ID: I20041111000779 |
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