Provider Demographics
NPI:1740509223
Name:MACGREGOR, ELENOR (DO)
Entity type:Individual
Prefix:
First Name:ELENOR
Middle Name:
Last Name:MACGREGOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3351
Mailing Address - Country:US
Mailing Address - Phone:801-837-8344
Mailing Address - Fax:
Practice Address - Street 1:25 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3351
Practice Address - Country:US
Practice Address - Phone:707-706-4725
Practice Address - Fax:877-892-0224
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15559208000000X
FLUO1658208000000X
NC2018-01957208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics