Individual
DAVID ANTHONY CIACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8035 PROVIDENCE RD STE 340, CHARLOTTE, NC 28277-9717
(704) 542-3988
Mailing address
8035 PROVIDENCE RD STE 340, CHARLOTTE, NC 28277-9717
(704) 542-3988
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2016-02563
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316380207
—
NC
01
—
2016-02563
MEDICAL LICENSE
NC
05
—
NC3031
—
SC
Enumeration date
04/10/2013
Last updated
05/07/2026
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