Organization
PSYCHIATRIC AND FORENSIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUTHER MORRIS MCEWEN III M.D (PRESIDENT)
(704) 525-1753
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN, CHARLOTTE, NC 28209-3239
(704) 525-1753
(704) 561-0926
Mailing address
PO BOX 12216, CHARLOTTE, NC 28220-2216
(704) 525-1753
(704) 561-0926
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902801
—
NC
Enumeration date
01/04/2008
Last updated
10/28/2009
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