Individual
DR. YVONNE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
182 VIRGINIA ST, BOONE, NC 28607-5043
(828) 262-4342
(828) 262-4414
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003051
UNITED HEALTHCARE
NC
01
—
1093A
BLUE CROSS
NC
01
—
1523935007
CIGNA
NC
05
—
891093A
—
NC
01
—
A8656
MEDCOST
NC
Enumeration date
03/22/2006
Last updated
12/19/2012
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