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Organization

PRIMARY MEDICAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY T MACKENZIE M.D. (OWNER/PHYSICIAN)
(919) 460-7676
Entity
Organization

Contact information

Practice address
270 CORNERSTONE DR, SUITE 105, CARY, NC 27519-8400
(919) 460-7676
(919) 460-4605
Mailing address
270 CORNERSTONE DR, SUITE 105, CARY, NC 27519-8400
(919) 460-7676
(919) 460-4605

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
9700320
NC

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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