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Organization

MICHAEL J PIAZZA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J PIAZZA MD (OWNER)
(800) 409-2919
Entity
Organization

Contact information

Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(800) 409-2919
Mailing address
4140 CLEMMONS RD, BOX 231, CLEMMONS, NC 27012-7520
(800) 409-2919

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5904204
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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