Individual
DR. MARIO GRAZIA FIORILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 537-0134
(252) 537-6515
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623972
MEDCOST
—
01
—
020384900
DIVISION OF COAL MINERS
—
01
—
028182
VABCBS
NC
01
—
04 55331
UNITED HEALTHCARE
—
01
—
110093481
RR MEDICARE PALMETTO
—
01
—
1435956HALI
UNITED MINE WORKERS
—
01
—
18619
CAPITOL BC PENN
—
01
—
32080
BCBSNC
NC
01
—
5831059
VIRGINIA MEDICAID
—
05
—
8932080
—
NC
Enumeration date
11/13/2006
Last updated
09/20/2019
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