| Waverly Primary Care | |
|
600 New Waverly Place Ste 203 Cary NC 27518 | |
| (919) 859-5650 | |
| (919) 859-5695 |
| Full Name | Waverly Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 600 New Waverly Place, Cary, North Carolina |
| Authorized Official Name and Position | David K Moye (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 9196140301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waverly Primary Care Po Box 96860 Charlotte NC 28296-6860 Ph: (919) 233-5952 | Waverly Primary Care 600 New Waverly Place Ste 203 Cary NC 27518 Ph: (919) 859-5650 |
| NPI Number | 1003868258 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003868258 | NPI | - | NPPES |
| 5900362 | Medicaid | NC | |
| 0231T | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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