# MARY ELLEN MCINTIRE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982634028
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 47600 | AZ | Yes |
| 208D00000X | General Practice Physician | 36832 | TN | — |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 10/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31273 | TLC | TN |
| 05 | — | 3891205 | — | TN |
| 05 | — | 863437 | — | AZ |
| 01 | — | P00183551 | RAILROAD MEDICARE | TN |