Individual
MRS. CHARLOTTE CLARK MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
711 S LONG DR, ROCKINGHAM, NC 28379-4315
(910) 997-7180
(910) 997-3830
Mailing address
711 S LONG DR, ROCKINGHAM, NC 28379-4315
(910) 997-7180
(910) 997-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004394
—
NC
Enumeration date
03/08/2007
Last updated
11/20/2013
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