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NPI Code Detail

MEDICARE: JAMES LANCE MCGHEE PA-C

MEDICARE: JAMES LANCE MCGHEE PA-C
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
1363A00000XPhysician Assistant0010-06361NC

General Provider Information

NPI Number : 1972958734
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LANCE MCGHEE PA-C
Provider Business Mailing Address
First Line : PO BOX 63362
Second Line :
City : CHARLOTTE
State : NC
Zip : 28263-3362
Country : US
Telephone Number : 919-620-4918
Fax Number : 919-620-4921
Provider Business Practice Location Address
First Line : 1234 HUFFMAN MILL RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-8777
Country : US
Telephone Number : 336-538-2370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2016
Last Update Date : 05/04/2016

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