Individual
MARY SPLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
433 MCALISTER RD, FL 1, LINCOLNTON, NC 28092-4147
(704) 512-5363
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005336
NC
Other
Enumeration date
10/05/2011
Last updated
09/20/2021
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