Organization
DESANTIS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHRISTOPHER DESANTIS MD (PHYSICIAN)
(828) 304-6363
Entity
Organization
Contact information
Practice address
10 3RD AVE NE, HICKORY, NC 28601-5044
(828) 304-6363
(828) 304-0033
Mailing address
10 3RD AVE NE, HICKORY, NC 28601-5044
(828) 304-6363
(828) 304-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7578132
CIGNA HEALTHCARE
NC
Enumeration date
11/04/2010
Last updated
04/04/2011
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