| Marjorie Mcdowell Whitehead, PA | |
|
7110 Lawyers Rd, Mint Hill, NC 28227-3906 | |
| (704) 537-0020 | |
| (704) 316-8634 |
| Full Name | Marjorie Mcdowell Whitehead |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7110 Lawyers Rd, Mint Hill, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245224534 | NPI | - | NPPES |
| 8101448 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102169 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 102169 (North Carolina) | Secondary |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie Mcdowell Whitehead, PA Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 537-0020 | Marjorie Mcdowell Whitehead, PA 7110 Lawyers Rd, Mint Hill, NC 28227-3906 Ph: (704) 537-0020 |
Selena Houck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11304 Hawthorne Dr Ste 100, Mint Hill, NC 28227 Phone: 704-545-6400 |
Dylan Malloy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11300 Cresthill Dr Ste 120, Mint Hill, NC 28227 Phone: 704-438-9479 Fax: 704-438-9478 |
Abigail Christine Lisowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11304 Hawthorne Dr, Ste 100, Mint Hill, NC 28227 Phone: 704-545-6400 |
Kiran Deep Semelsberger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11304 Hawthorne Dr, Ste 100, Mint Hill, NC 28227 Phone: 704-545-6400 |
Kristen Jones, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 9150 Morgan Glenn Dr, Mint Hill, NC 28227 Phone: 614-806-3474 |
Melissa A Vanausdoll, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Mint Hill, NC 28227 Phone: 704-537-0020 Fax: 704-537-2144 |
Sharyce Nicole Banks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11300 Cresthill Dr Ste 120, Mint Hill, NC 28227 Phone: 704-438-9479 |