Provider Demographics
NPI:1346349859
Name:BELK, CATHY C (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:C
Last Name:BELK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 TREE BARK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6313
Mailing Address - Country:US
Mailing Address - Phone:919-623-7946
Mailing Address - Fax:704-784-4335
Practice Address - Street 1:3331 EASY ST STE 100
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-7988
Practice Address - Country:US
Practice Address - Phone:910-567-6194
Practice Address - Fax:704-784-4335
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28841174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911659Medicaid
NC8911659Medicaid
NCC81831Medicare UPIN