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Individual

CHARLES JOSEPH MCNALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
929 15TH ST NE STE 100, HICKORY, NC 28601-4162
(828) 327-6026
(828) 537-1238
Mailing address
1105 FAIRGROVE CHURCH RD SE, CONOVER, NC 28613-9090
(282) 670-5518

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5015197
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5015197
NP
NC
Enumeration date
11/05/2021
Last updated
11/04/2024
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