Individual
JUAN CARLOS DE VIRGILIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
381 DEERFIELD RD, BOONE, NC 28607
(828) 262-3733
(828) 264-7799
Mailing address
381 DEERFIELD RD, BOONE, NC 28607
(828) 297-1811
(828) 264-7799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928376
—
NC
Enumeration date
09/28/2006
Last updated
03/17/2010
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