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Individual

ELLIOT CAPERS MCKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 PARK ST, BELMONT, NC 28012-3368
(704) 295-3700
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
11015076A
IN
207W00000X
Ophthalmology Physician
Primary
2013-007258
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180P9
BCBS
NC
01
30183028
SELECT HEALTH
SC
01
NCD318B
MEDICARE
NC
01
P01510186
RAILROAD MEDICARE
NC
05
Q0072T
SC
Enumeration date
06/23/2009
Last updated
04/23/2021
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