Organization
CARRBORO PEDIATRICS AND INTERNAL MEDICINE, PA
Active
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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