Individual
DR. STEVE MALONE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1835 DAVIE AVE, 413, STATESVILLE, NC 28677-3578
(704) 873-1463
(704) 873-1467
Mailing address
PO BOX 991, 413, STATESVILLE, NC 28687-0991
(704) 873-1463
(704) 873-1367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8957138
—
NC
Enumeration date
05/16/2007
Last updated
10/10/2008
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