Individual
DAVID B MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6404 CARMEL RD STE 202, CHARLOTTE, NC 28226-8278
(704) 650-2348
(704) 752-7040
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 667-4150
(704) 752-7040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
97-00098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110221536
MEDICARE RAILROAD
NY
01
—
1113M
BCBS
NC
05
—
1649299488
—
NC
05
—
891113M
—
NC
05
—
N00098
—
SC
Enumeration date
07/19/2006
Last updated
04/19/2023
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