Doctor Name: | DR. PATRICIA ANN MCCARRON |
NPI Number: | 1619016276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 8601670 |
Business Practice Address: | 2415 West Vernonn Ave Caswell Center Kinston, NC - 285043321 |
Business Phone Number: | 2522084044 |
Business Fax Number: | 2522084035 |
Mailing Address: | 301 Club Pines Drive, GREENVILLE |
State: | NC |
Postal Code: | 27834 |
Phone Number: | 2528306260 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8601670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |