MEDICARE: DAVID MCCARTY COMER 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
1	363AM0700X	Medical Physician Assistant	103181	NC

General Provider Information

NPI Number	:	1912050469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MCCARTY COMER PA-C

Provider Business Mailing Address
First Line	:	18005 CAMBRIDGE VILLAGE LOOP
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-7718
Country	:	US
Telephone Number	:	919-972-1645
Fax Number	:	919-230-1948

Provider Business Practice Location Address
First Line	:	8001 T W ALEXANDER DR STE 216
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-4884
Country	:	US
Telephone Number	:	919-972-1645
Fax Number	:	919-230-1948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	05/25/2022

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