Individual
BETHANY MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3014 BAUCOM RD STE 100, CHARLOTTE, NC 28269-2393
(704) 930-4657
Mailing address
7017 TOBY CT, CHARLOTTE, NC 28213-5727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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