Provider Demographics
NPI:1851738199
Name:CYNTHIA M. GREGG, MD, PLLC
Entity Type:Organization
Organization Name:CYNTHIA M. GREGG, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREGG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-297-0097
Mailing Address - Street 1:3550 NW CARY PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7409
Mailing Address - Country:US
Mailing Address - Phone:919-297-0097
Mailing Address - Fax:
Practice Address - Street 1:3550 NW CARY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7409
Practice Address - Country:US
Practice Address - Phone:919-297-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty