Individual
MR. BRIAN JOHN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 VAIL AVE STE 200A, CHARLOTTE, NC 28207-1222
(704) 323-2564
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08345
NC
Other
Enumeration date
03/23/2017
Last updated
01/09/2023
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