Provider Demographics
NPI:1104398346
Name:CARY ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:CARY ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE AND SPECIAL OPERATIONS DIR.
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-467-4992
Mailing Address - Street 1:1120 SE CARY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 LATTNER CT STE 200
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9584
Practice Address - Country:US
Practice Address - Phone:919-238-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty