Individual
MARY REBECCA TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3541 RANDOLPH RD, STE 206, CHARLOTTE, NC 28211-1082
(704) 381-8336
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9801782
NC
Other
Enumeration date
05/03/2007
Last updated
12/18/2023
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