Individual
JAYNE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 379-5956
(704) 379-6218
Mailing address
344 ROLLING HILL RD, STE 102, MOORESVILLE, NC 28117-6865
(704) 464-4439
(704) 664-8802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0034339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893795B
—
NC
01
—
N34339
MEDICAID
SC
Enumeration date
10/14/2005
Last updated
01/29/2018
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