Provider Demographics
NPI:1437826807
Name:MCNAIR, ACQUIRNETA D (DOCTORATE DEGREE)
Entity Type:Individual
Prefix:DR
First Name:ACQUIRNETA
Middle Name:D
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:DOCTORATE DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 PONDELLA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-6118
Mailing Address - Country:US
Mailing Address - Phone:704-218-9545
Mailing Address - Fax:
Practice Address - Street 1:816 PONDELLA DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6118
Practice Address - Country:US
Practice Address - Phone:704-218-9545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver