Individual
JOHN W MCMENEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 VILCOM CENTER DR STE 200, CHAPEL HILL, NC 27514-1789
(919) 521-8159
(919) 933-3816
Mailing address
77 VILCOM CENTER DR STE 200, CHAPEL HILL, NC 27514-1789
(919) 521-8159
(330) 343-7805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96-00638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55790
BCBS
NC
05
—
8955790
—
NC
Enumeration date
06/08/2006
Last updated
01/03/2023
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