Provider Demographics
NPI:1619317328
Name:MOUW, MARY SHERWYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:SHERWYN
Last Name:MOUW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:UNC HOSPITALS--GERIATRIC MEDICINE
Mailing Address - Street 2:5003 OLD CLINIC BUILDING, CB #7550
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7550
Mailing Address - Country:US
Mailing Address - Phone:919-445-6764
Mailing Address - Fax:919-966-9746
Practice Address - Street 1:UNC HOSPITALS--GERIATRIC MEDICINE
Practice Address - Street 2:5003 OLD CLINIC BUILDING, CB #7550
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7550
Practice Address - Country:US
Practice Address - Phone:919-445-6764
Practice Address - Fax:919-966-9746
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2017-04-16
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Provider Licenses
StateLicense IDTaxonomies
NC200000560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH26564Medicare UPIN