| Organization Name: | CARY ORTHOPAEDIC & SPORTS MEDICINE SPECIALISTS, PA |
| NPI Number: | 1033419569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN M MCARDLE (BUSINESS MANAGER) |
| Mailing Address: | 1110 Se Cary Pkwy Ste 103 Cary |
| State: | NC US |
| Postal Code: | 275187420 |
| Phone Number: | 9192970000 |
| Fax Number: | 9192325328 |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | PV43190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |