Primary Medical Care | |
270 Cornerstone Dr Suite 105 Cary NC 27519-8400 | |
(919) 460-7676 | |
(919) 460-4605 |
Full Name | Primary Medical Care |
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Speciality | Family Medicine |
Location | 270 Cornerstone Dr, Cary, North Carolina |
Authorized Official Name and Position | Mary T Mackenzie (OWNER/PHYSICIAN) |
Authorized Official Contact | 9194607676 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Medical Care 270 Cornerstone Dr Suite 105 Cary NC 27519-8400 Ph: (919) 460-7676 | Primary Medical Care 270 Cornerstone Dr Suite 105 Cary NC 27519-8400 Ph: (919) 460-7676 |
NPI Number | 1861822793 |
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Provider Enumeration Date | 11/13/2013 |
Last Update Date | 11/13/2013 |
Medicare PECOS PAC ID | 5395975064 |
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Medicare Enrollment ID | O20140224002183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861822793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | 9700320 (North Carolina) | Primary |
Provider Name | Mary T Mackenzie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508801283 PECOS PAC ID: 0941268288 Enrollment ID: I20050103000698 |
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