Organization
MICHAEL R ONEILL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAYMOND O'NEILL MD (PRESIDENT)
(704) 375-5755
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 807, CHARLOTTE, NC 28204-3260
(704) 375-5755
(704) 335-3380
Mailing address
1718 E 4TH ST, SUITE 807, CHARLOTTE, NC 28204-3260
(704) 375-5755
(704) 335-3380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7964182
—
NC
Enumeration date
03/09/2006
Last updated
10/12/2010
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