Individual
DR. LARRY MAUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 450, MATTHEWS, NC 28105-2387
(704) 384-8480
(704) 384-8481
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 384-8480
(704) 384-8481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35974
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8955031
—
NC
05
—
N35974
—
SC
Enumeration date
02/06/2006
Last updated
02/19/2013
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