Individual
DR. JACOB MILLER MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9414
(704) 384-5735
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-6072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1.054585
CT
2084P0800X
Psychiatry Physician
Primary
2016-00422
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2011
Last updated
09/29/2023
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