Individual
TRACEY NICOLE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
584 HOSPITAL DR, SUITE B, BOLIVIA, NC 28422
(910) 721-4050
(910) 721-4051
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2008-02036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911526
—
NC
Enumeration date
05/23/2008
Last updated
10/28/2020
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