Individual
JUSTIN NICHOLAS MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD.
Contact information
Practice address
645 AMALIA ST NE, CONCORD, NC 28025-2434
(704) 295-3255
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q54040A
MEDICARE
NC
05
—
SAT017
—
SC
Enumeration date
10/20/2014
Last updated
12/13/2024
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