Individual
DEANNA MARIE DIDIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1585 FORNEY CREEK PKWY, STE 2100, DENVER, NC 28037-9514
(704) 489-0365
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2015-01351
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2015-01351
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
2015-01351
NC
Other
Enumeration date
06/14/2012
Last updated
07/15/2024
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