Healthcare Provider Details

I. General information

NPI: 1265446132
Provider Name (Legal Business Name): INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 HIGH HOUSE RD SUITE 100
CARY NC
27513-4278
US

IV. Provider business mailing address

224 HIGH HOUSE RD SUITE 100
CARY NC
27513-4278
US

V. Phone/Fax

Practice location:
  • Phone: 919-380-7531
  • Fax: 919-380-0686
Mailing address:
  • Phone: 919-380-7531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES C WOMBLE
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 919-380-7531