Healthcare Provider Details

I. General information

NPI: 1427751361
Provider Name (Legal Business Name): MICHAEL CARGILL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 WELLESLEY TRADE LN STE 100
CARY NC
27519-5669
US

IV. Provider business mailing address

351 WELLESLEY TRADE LN STE 100
CARY NC
27519-5669
US

V. Phone/Fax

Practice location:
  • Phone: 919-576-8100
  • Fax: 919-576-8149
Mailing address:
  • Phone: 919-576-8100
  • Fax: 919-576-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-02519
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: