Individual
MARTIN MCMILLAN HENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9700984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140005430
RAILROAD MEDICARE
—
05
—
8910874
—
NC
05
—
N00986
—
SC
Enumeration date
07/14/2005
Last updated
08/05/2025
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