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NPI Code Detail

MEDICARE: MRS. CAROLYN KAY SOLAK PA-C

MEDICARE: MRS. CAROLYN KAY SOLAK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-07295NC

General Provider Information

NPI Number : 1578509881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN KAY SOLAK PA-C
Provider Business Mailing Address
First Line : PO BOX 52411
Second Line :
City : PHOENIX
State : AZ
Zip : 85072-2411
Country : US
Telephone Number : 919-785-3400
Fax Number : 919-783-7778
Provider Business Practice Location Address
First Line : 110 CAPCOM AVE STE 200
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-6531
Country : US
Telephone Number : 919-229-4046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 10/24/2025

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Directions to “ MRS. CAROLYN KAY SOLAK PA-C” Practice Location

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