Organization
MCKINNON EYE CLINIC PA
Active
Organization
MCKINNON EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE M MCKINNON MD (PRESIDENT)
(704) 873-1463
Entity
Organization
Contact information
Practice address
1835 DAVIE AVENUE, SUITE 413, STATESVILLE, NC 28677
(704) 873-1463
(704) 873-1467
Mailing address
PO BOX 991, STATESVILLE, NC 28687
(704) 873-1463
(704) 873-1467
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890206X
—
NC
Enumeration date
11/22/2006
Last updated
07/08/2008
Update your record
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