MEDICARE: JOHN LYLE MCGUINNESS

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	207R00000X	Internal Medicine Physician	2006-01517	NC

General Provider Information

NPI Number	:	1639263759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LYLE MCGUINNESS

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	:	106 LANGTREE VILLAGE DR STE 200
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-7594
Country	:	US
Telephone Number	:	704-384-7101
Fax Number	:	704-384-7102

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	01/07/2026

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