Healthcare Provider Details

I. General information

NPI: 1881281277
Provider Name (Legal Business Name): UNC PHYSICIANS GROUP PRACTICES II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 MCCRIMMON PKWY STE 205
CARY NC
27519-1916
US

IV. Provider business mailing address

2000 PERIMETER PARK DR STE 200
MORRISVILLE NC
27560-8442
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-5600
  • Fax: 919-582-3051
Mailing address:
  • Phone: 919-781-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYNNE CHRISTINE FISCUS
Title or Position: CEO
Credential:
Phone: 984-215-4111