Organization
INTEGRATIVE IMMUNOLOGY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEVE OCONNOR (OWNER)
(704) 910-1402
Entity
Organization
Contact information
Practice address
8810 BLAKENEY PROFESSIONAL DR STE 100, CHARLOTTE, NC 28277-6596
(704) 910-1402
(704) 910-1506
Mailing address
8810 BLAKENEY PROFESSIONAL DR STE 100, CHARLOTTE, NC 28277-6596
(704) 910-1402
(704) 910-1506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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