Individual
DR. MARY HANNAH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
PO BOX 1573, DUBLIN, GA 31040-1573
(478) 272-3209
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2017-01630
NC
207RP1001X
Pulmonary Disease Physician
071829
GA
207RP1001X
Pulmonary Disease Physician
Primary
2017-01630
NC
Other
Enumeration date
05/06/2008
Last updated
09/01/2022
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