Individual
EMIDIO MICHAEL NOVEMBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 DUTCHMAN CT, ELKIN, NC 28621-2237
(336) 835-5330
(336) 835-5337
Mailing address
1925 N BRIDGE ST STE 101, ELKIN, NC 28621-2105
(336) 835-5330
(336) 835-5337
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
2002-01393
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200201393
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
200201393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010126401
—
VA
05
—
89132UV
—
NC
Enumeration date
07/16/2006
Last updated
11/20/2025
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