Provider Demographics
NPI:1720183387
Name:TROY, ANNETTE LYNN (MD)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:LYNN
Last Name:TROY
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 1:1110 SE CARY PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7420
Mailing Address - Country:US
Mailing Address - Phone:919-851-6260
Mailing Address - Fax:919-851-6261
Practice Address - Street 1:1110 SE CARY PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7420
Practice Address - Country:US
Practice Address - Phone:919-851-6260
Practice Address - Fax:919-851-6261
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401443208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89138C4Medicaid
NC89138C4Medicaid
NC2035101EMedicare PIN