# FAMILY DOCTOR CARYNC, P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619228665
- **Authorized official:** MAMATHA AGRAWAL MD (PRESIDENT)
- **Authorized official phone:** (919) 412-6073

## Contact information

- **Practice address:** 200 KEISLER DR STE B, CARY, NC 27518-8801
- **Practice address phone:** (919) 859-7177
- **Mailing address:** 200 KEISLER DR STE B, CARY, NC 27518-8801
- **Mailing address phone:** (919) 859-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200000169 | NC | Yes |

## Other

- **Enumeration date:** 09/29/2012
- **Last updated:** 10/30/2015