Organization
FAMILY DOCTOR CARYNC, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMATHA AGRAWAL MD (PRESIDENT)
(919) 412-6073
Entity
Organization
Contact information
Practice address
200 KEISLER DR STE B, CARY, NC 27518-8801
(919) 859-7177
Mailing address
200 KEISLER DR STE B, CARY, NC 27518-8801
(919) 859-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200000169
NC
Other
Enumeration date
09/29/2012
Last updated
10/30/2015
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