Provider Demographics
NPI:1437269644
Name:JAMES, MARY-MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY-MARGARET
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 MEDICAL PARK RD
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-663-5240
Mailing Address - Fax:704-663-5399
Practice Address - Street 1:170 MEDICAL PARK RD
Practice Address - Street 2:SUITE 102A
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117
Practice Address - Country:US
Practice Address - Phone:704-663-5240
Practice Address - Fax:704-663-5399
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200000473208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891264FMedicaid
NC891264FMedicaid