Organization
CARY CREEK MEDICAL PC
Active
Parent organization
CARY CREEK MEDICAL, PC
Other names
Beauregard Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARY CREEK MEDICAL, PC
Authorized official
DR. MARTIN ROACH DO (OWNER/MD)
(334) 737-5557
Entity
Organization
Contact information
Practice address
7667 ALABAMA HWY 51 SUITE B, OPELIKA, AL 36804
(334) 737-5557
(334) 767-5646
Mailing address
7667 ALABAMA HWY 51 SUITE B, OPELIKA, AL 36804
(334) 737-5557
(334) 767-5646
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51595037
BCBS
AL
Enumeration date
11/24/2008
Last updated
11/15/2023
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