Individual
JACLYN MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14214 BALLANTYNE LAKE RD, STE 300, CHARLOTTE, NC 28277-3372
(704) 667-2600
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-01240
NC
Other
Enumeration date
07/19/2013
Last updated
07/16/2020
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