Individual
MARGARET MARY DIVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1408 EAST BLVD STE B, CHARLOTTE, NC 28203-5875
(704) 355-9355
(704) 444-2790
Mailing address
1408 EAST BLVD STE B, CHARLOTTE, NC 28203-5875
(704) 355-9355
(704) 444-2790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600901
NC
Other
Enumeration date
09/27/2006
Last updated
07/25/2007
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