Individual
MIRANDA RAE-TSUKAMOTO MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
215 S MAIN ST, MOUNT HOLLY, NC 28120-1620
(704) 587-2400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-01933
NC
Other
Enumeration date
03/01/2014
Last updated
07/15/2024
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