Individual
MAUREEN RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16817 MARVIN ROAD, CHARLOTTE, NC 28277
(704) 495-6036
Mailing address
5950 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-2108
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202177
—
SC
05
—
891233F
—
NC
Enumeration date
09/08/2006
Last updated
10/12/2018
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