Healthcare Provider Details

I. General information

NPI: 1437102878
Provider Name (Legal Business Name): CHRISTINE HOLZER MCCARTY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713B S FAYETTEVILLE ST
ASHEBORO NC
27203-6405
US

IV. Provider business mailing address

PO BOX 14878
GREENSBORO NC
27415-4878
US

V. Phone/Fax

Practice location:
  • Phone: 336-626-0033
  • Fax:
Mailing address:
  • Phone: 336-547-1877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9900601
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number9900601
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: