# MCM PEDIATRIC AND ADOLESCENT HOME PRACTICE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCM Pediatric And Adolescent Home Practice, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205967460
- **Authorized official:** DR. MOHAMED MERGHANI MD (MD)
- **Authorized official phone:** (910) 997-7180

## Contact information

- **Practice address:** 711 S LONG DR, ROCKINGHAM, NC 28379-4315
- **Practice address phone:** (910) 997-7180
- **Practice address fax:** (910) 997-3830
- **Mailing address:** 711 S LONG DR, ROCKINGHAM, NC 28379-4315
- **Mailing address phone:** (910) 997-7180
- **Mailing address fax:** (910) 997-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 2005-01870 | NC | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 04/15/2015
