Individual
CHRISTOPHER KEVIN CICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PARK DR, STE 230, CONCORD, NC 28025-2982
(704) 403-1349
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200200664
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
200200664
NC
208600000X
Surgery Physician
200200664
NC
2086S0129X
Vascular Surgery Physician
200200664
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
200200664
NC
Other
Enumeration date
05/04/2007
Last updated
07/17/2024
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