Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 200700861 | NC |
NPI | 1043324825 |
---|---|
Provider Name | Molly Mcgaughey |
First Address | Asheville, NC 28805 |
Second Address | Asheville, NC 28805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 21/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5908168 | (05) | NC |
P00744287 | MEDICARE RAILROAD (01) |