Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2008-01732 | NC |
N | 207QS0010X | Family Doctor - Sports Medicine | 2008-01732 | NC |
N | 207QS0010X | Family Doctor - Sports Medicine | 35.089845 | OH |
NPI | 1164541637 |
---|---|
Provider Name | Dr. Michael S. Mccartney |
First Address | Belmont, NC 28012-3370 |
Second Address | Belmont, NC 28012-3370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 14/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020511 | (05) | AZ |