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Organization
JOHN A AZZATO MD PC
Active
Organization
JOHN A AZZATO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A AZZATO MD (OWNER)
(910) 454-8030
Entity
Organization
Contact information
Practice address
1503 E BROAD ST, STATESVILLE, NC 28625-4301
(704) 871-9731
(704) 871-1105
Mailing address
PO BOX 11505, SOUTHPORT, NC 28461-1505
(910) 454-8030
(910) 363-4828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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