Individual
DR. CAROLYN S MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 782-8200
Mailing address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 782-8200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
016523
ME
208600000X
Surgery Physician
Primary
2008-00011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447220827
—
NC
01
—
2008-00011
LICENSE
NC
05
—
N11008
—
SC
Enumeration date
01/26/2006
Last updated
08/22/2019
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