Individual
MCRANDON ELVENSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 E OLD HIGHWAY 74, MONROE, NC 28112-8122
(704) 283-3066
Mailing address
7817 SURREYWOOD PL, CHARLOTTE, NC 28270-2161
(704) 651-2509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2617
NC
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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