Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2013-01964 | NC |
NPI | 1073665550 |
---|---|
Provider Name | Matthew Joseph Mcgirt |
First Address | Charlotte, NC 28204-3109 |
Second Address | Charlotte, NC 28204-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 29/10/2020 |