Individual
DARREN A CICCOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
231 N JUDD PKWY NE, FUQUAY VARINA, NC 27526-2694
(919) 235-6560
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09327
NC
363AM0700X
Medical Physician Assistant
001121
CT
Other
Enumeration date
07/16/2006
Last updated
12/07/2021
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