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Individual

RICHARD MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203-5812
(704) 381-6800
(704) 381-6841
Mailing address
3500 WILDER LN, ORLANDO, FL 32804-3532
(407) 694-2017

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MCCO-434QAM
NC

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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