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1467866558

NPI Code Detail

MEDICARE: ADRIAN CARLOS MARTIN GAROFOLI MD

MEDICARE: ADRIAN CARLOS MARTIN GAROFOLI 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	207R00000X	Internal Medicine Physician	0101259827	VA
2	207R00000X	Internal Medicine Physician	82524	SC
3	208M00000X	Hospitalist Physician	82524	SC
4	208M00000X	Hospitalist Physician	0101259827	VA
5	207R00000X	Internal Medicine Physician	2021-00790	NC
6	208M00000X	Hospitalist Physician	2021-00790	NC

General Provider Information

NPI Number	:	1467866558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN CARLOS MARTIN GAROFOLI MD

Provider Business Mailing Address
First Line	:	6231 GLENRIDGE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4625
Country	:	US
Telephone Number	:	507-316-2354
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 COUNTRY CLUB RD
Second Line	:
City	:	WADESBORO
State	:	NC
Zip	:	28170-3203
Country	:	US
Telephone Number	:	507-316-2354
Fax Number	:

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

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	04/28/2026

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Directions to “ ADRIAN CARLOS MARTIN GAROFOLI MD” Practice Location

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