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1356426548

NPI Code Detail

MEDICARE: JAMES ANTHONY PALERMO MD

MEDICARE: JAMES ANTHONY PALERMO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	2002-00268	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	800249	OTHER	NC	PARTNERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	B8596	OTHER	NC	MEDCOST
5	13145	OTHER	NC	BCBS
6	7103448	OTHER	NC	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356426548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ANTHONY PALERMO MD

Provider Business Mailing Address
First Line	:	200 QUEENS RD STE 400
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3264
Country	:	US
Telephone Number	:	980-890-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 W FRIENDLY AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-1109
Country	:	US
Telephone Number	:	336-832-1100
Fax Number	:	336-832-0619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	05/31/2024

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Directions to “ JAMES ANTHONY PALERMO MD” Practice Location

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