Individual
DR. AMPARITO IVONNE FIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-9800
(252) 243-9888
Mailing address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 293-0013
(252) 243-2576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-01690
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908271
—
NC
Enumeration date
10/26/2005
Last updated
10/26/2023
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