Organization
TRINITY HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY WAYNE MACASIEB MD (DOCTOR)
(704) 663-7500
Entity
Organization
Contact information
Practice address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Mailing address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
82291
NC
207R00000X
Internal Medicine Physician
Primary
82291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690228M
—
NC
Enumeration date
04/19/2006
Last updated
03/24/2015
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