Individual
MICHAEL A MARCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA
Contact information
Practice address
3541 RANDOLPH ROAD, SUITE 210, CHARLOTTE, NC 28211-2886
(704) 944-0143
(704) 944-7399
Mailing address
3541 RANDOLPH ROAD, SUITE 210, CHARLOTTE, NC 28211-2886
(704) 944-0143
(704) 944-7399
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1175
NC
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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