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NPI Code Detail

MEDICARE: MICHELLE GIORDANO PA-C

MEDICARE: MICHELLE GIORDANO PA-C
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
1363AS0400XSurgical Physician Assistant104093NC
2363A00000XPhysician Assistant104093NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821101247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GIORDANO PA-C
Provider Business Mailing Address
First Line : 4601 PARK RD
Second Line : SUITE 300
City : CHARLOTTE
State : NC
Zip : 28209-3239
Country : US
Telephone Number : 704-323-2000
Fax Number :
Provider Business Practice Location Address
First Line : 710 PARK CENTER DR
Second Line : SUITE 300
City : MATTHEWS
State : NC
Zip : 28105-5012
Country : US
Telephone Number : 704-323-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 02/15/2012

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Directions to “ MICHELLE GIORDANO PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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