Organization
CARRBORO PEDIATRICS AND INTERNAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY LYN ANNIS MD (PRESIDENT)
(919) 933-8381
Entity
Organization
Contact information
Practice address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Mailing address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83272
NC
208000000X
Pediatrics Physician
83272
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185T
BCBS OF NC
NC
05
—
690185T
—
NC
Enumeration date
03/27/2006
Last updated
04/15/2015
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