MEDICARE: DR. MAGDALENE MARFO 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	200101471	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00243828	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	130YR	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992776330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGDALENE MARFO MD

Provider Business Mailing Address
First Line	:	PO BOX 79029
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28271-7046
Country	:	US
Telephone Number	:	704-979-8210
Fax Number	:	704-979-8510

Provider Business Practice Location Address
First Line	:	537 W SUGAR CREEK RD STE 201
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-6103
Country	:	US
Telephone Number	:	704-979-8210
Fax Number	:	704-979-8510

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	09/08/2025

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Directions to “ DR. MAGDALENE MARFO MD” Practice Location

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