Individual
DR. ANDREA MEMMEN MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
10344 PARK RD STE 100, CHARLOTTE, NC 28210-8505
(704) 495-6025
Mailing address
5950 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-2108
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200000096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1267K
BCBS
NC
05
—
1790707784
—
NC
05
—
891267K
—
NC
05
—
N00096
—
SC
Enumeration date
07/25/2006
Last updated
11/30/2022
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