Healthcare Provider Details

I. General information

NPI: 1831279397
Provider Name (Legal Business Name): CONSTANCE MARGO HANES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CONSTANCE MARGO HANES BUSH MD

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S STERLING ST
MORGANTON NC
28655-3938
US

IV. Provider business mailing address

1000 S STERLING ST
MORGANTON NC
28655-3938
US

V. Phone/Fax

Practice location:
  • Phone: 828-608-4333
  • Fax:
Mailing address:
  • Phone: 828-608-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number55526
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9500928
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: