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NPI Code Detail

MEDICARE: DR. CECILIA SMITH MCKAY MD

MEDICARE: DR. CECILIA SMITH MCKAY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician9700327NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
397-00527OTHERNCSTATE LICENSE, NC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386622587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CECILIA SMITH MCKAY MD
Provider Business Mailing Address
First Line : PO BOX 602530
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-2530
Country : US
Telephone Number : 910-642-1776
Fax Number : 910-642-9305
Provider Business Practice Location Address
First Line : 500 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3634
Country : US
Telephone Number : 910-642-1776
Fax Number : 910-642-9305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 03/07/2023

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