Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2003-00843 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2003-00843 | NC |
NPI | 1164404984 |
---|---|
Provider Name | Dr. Patricia Lynn Mchale |
First Address | Charlotte, NC 28209-3239 |
Second Address | Gastonia, NC 28054-2175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 12/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89134MM | (05) | NC |
H69300 | (02) | NC |
N00843 | (05) | SC |