Provider Demographics
NPI:1245449834
Name:IRONS, CARY FREDERICK III (MC)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:FREDERICK
Last Name:IRONS
Suffix:III
Gender:M
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 LITCHFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-9243
Mailing Address - Country:US
Mailing Address - Phone:919-942-0272
Mailing Address - Fax:919-942-0618
Practice Address - Street 1:200 N GREENSBORO ST
Practice Address - Street 2:SUITE D-7
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1833
Practice Address - Country:US
Practice Address - Phone:919-942-0272
Practice Address - Fax:919-942-0618
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC218012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC45417Medicare UPIN
NC202469BMedicare ID - Type Unspecified