Organization
VAPOURMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN N MCMULLEN M.D. (INCORPORATOR)
(704) 928-5174
Entity
Organization
Contact information
Practice address
340 RIVERWOOD RD, MOORESVILLE, NC 28117-8896
(704) 928-5174
(704) 662-6946
Mailing address
PO BOX 124, SALISBURY, NC 28145-0124
(704) 469-8473
(704) 642-0529
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2005-01754
NC
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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