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Individual

ANDREW HALL MARKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7825 BALLANTYNE COMMONS PKWY STE 150, CHARLOTTE, NC 28277-3175
(704) 316-3070
(704) 316-3071
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2019-00191
NC
207T00000X
Neurological Surgery Physician
Q6652
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362033801
TX
01
8GA344
BCBS
TX
01
8GA358
BCBS
TX
Enumeration date
04/02/2010
Last updated
10/26/2020
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