Organization
MAYNARD FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSTAPA CHAKOUR (OWNER)
(919) 523-6600
Entity
Organization
Contact information
Practice address
103 MAYNARD CROSSING CT, CARY, NC 27513-8723
(919) 523-6600
Mailing address
103 MAYNARD CROSSING CT, CARY, NC 27513-8723
(919) 523-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
02/23/2024
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