Provider Demographics
NPI:1770572687
Name:MCGUIRE, JAYNE (MD)
Entity type:Individual
Prefix:
First Name:JAYNE
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:344 ROLLING HILL RD
Mailing Address - Street 2:STE 102
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6865
Mailing Address - Country:US
Mailing Address - Phone:704-464-4439
Mailing Address - Fax:704-664-8802
Practice Address - Street 1:2001 VAIL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1219
Practice Address - Country:US
Practice Address - Phone:704-379-5956
Practice Address - Fax:704-379-6218
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2018-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0034339207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC893795BMedicaid
SCN34339OtherMEDICAID
NC893795BMedicaid
SCN34339OtherMEDICAID