MAEVE E O'CONNOR MD
Allergy and Immunology
Charlotte, North Carolina
Provider NPI: 1114956752
Provider Information:MAEVE E O'CONNOR MD
Practice Location:
1523 ELIZABETH AVE SUITE 200 CHARLOTTE, NC 28204 US
Tel: 704-910-1402 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | NC | 20030857 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 8913444 | NC | 05 | |
| NOO857 | SC | 05 | |
| BCBS | 01284 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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