Individual
DR. CORY LYN ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
9401117
NC
208000000X
Pediatrics Physician
9401117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11319
BLUE CROSS & BLUE SHIELD
NC
01
—
370016487
RAILROAD MEDICARE
NC
05
—
8911319
—
NC
01
—
91928
MEDCOST INSURANCE
NC
Enumeration date
12/14/2005
Last updated
02/26/2013
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