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NPI Code Detail

MEDICARE: JAMES O'HARE MD

MEDICARE:   JAMES  O'HARE  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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician2023-02341NC
2207RE0101XEndocrinology, Diabetes & Metabolism Physician306656LA

General Provider Information

NPI Number : 1932526878
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES O'HARE MD
Provider Business Mailing Address
First Line : 180 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-835-3136
Fax Number :
Provider Business Practice Location Address
First Line : 180 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-835-3136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2014
Last Update Date : 04/17/2026

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