Organization
CARAVAGLIA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA MARIE CARAVAGLIA D.O. (OWNER)
(918) 816-1901
Entity
Organization
Contact information
Practice address
1840 EASTCHESTER DRIVE, UNIT 106, HIGH POINT, NC 27265
(918) 816-1901
Mailing address
1230 TURTLE ROCK WAY, APT 1B, HIGH POINT, NC 27265
(918) 816-1901
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2011-01820
—
261QP2300X
Primary Care Clinic/Center
4574
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122600A
—
OK
Enumeration date
03/07/2011
Last updated
11/13/2013
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