Provider Demographics
NPI:1912050469
Name:COMER, DAVID MCCARTY (PA-C)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MCCARTY
Last Name:COMER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18005 CAMBRIDGE VILLAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7718
Mailing Address - Country:US
Mailing Address - Phone:919-972-1645
Mailing Address - Fax:919-230-1948
Practice Address - Street 1:8001 T W ALEXANDER DR STE 216
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4884
Practice Address - Country:US
Practice Address - Phone:919-972-1645
Practice Address - Fax:919-230-1948
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC103181363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical