Individual
DR. CRYSTAL MONIQUE MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5800 OLD PINEVILLE RD STE 101, CHARLOTTE, NC 28217-4106
(704) 393-7720
(704) 398-3173
Mailing address
5800 OLD PINEVILLE RD STE 101, CHARLOTTE, NC 28217-4106
(704) 393-7720
(704) 398-3173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1700847969
NC
207Q00000X
Family Medicine Physician
Primary
202001935
NC
207Q00000X
Family Medicine Physician
MD040888
DC
Other
Enumeration date
05/27/2009
Last updated
03/09/2026
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