Individual
MARY THERESA MACKENZIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 CORNERSTEONE DR, SUITE 105, CARY, NC 27519
(919) 460-7676
(919) 460-4605
Mailing address
270 CORNERSTEONE DR, SUITE 105, CARY, NC 27519
(919) 460-7676
(919) 460-4605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700320
NC
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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