Provider Demographics
NPI:1760729867
Name:MCGIMSEY, LIJIE CHU (MAC)
Entity Type:Individual
Prefix:
First Name:LIJIE
Middle Name:CHU
Last Name:MCGIMSEY
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:705 NORTHEAST DR STE 14
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7431
Mailing Address - Country:US
Mailing Address - Phone:704-737-4412
Mailing Address - Fax:704-332-4562
Practice Address - Street 1:705 NORTHEAST DR STE 14
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7431
Practice Address - Country:US
Practice Address - Phone:704-737-4412
Practice Address - Fax:704-332-4562
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist