MEDICARE: ELEANOR MARK MCCURDY

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
1	207V00000X	Obstetrics & Gynecology Physician	200300660	NC

General Provider Information

NPI Number	:	1467471771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEANOR MARK MCCURDY

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6324 FAIRVIEW RD STE 430
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-4278
Country	:	US
Telephone Number	:	704-316-3148
Fax Number	:	704-316-3149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	04/16/2024

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Directions to “ ELEANOR MARK MCCURDY ” Practice Location

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