Individual
DR. MICHELLE G FESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9955 POPLAR TENT RD, CONCORD, NC 28027-9314
(704) 316-1161
(704) 316-1162
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-00748
NC
207Q00000X
Family Medicine Physician
MA60114
NJ
207Q00000X
Family Medicine Physician
MD047711L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010002623
AMERICHOICE
—
01
—
0713315000
AMERIHEALTH HMO, KESYSTONE, IBC
—
05
—
6462804
—
NJ
01
—
6672396
CIGNA
—
Enumeration date
10/12/2006
Last updated
04/11/2022
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