Healthcare Provider Details

I. General information

NPI: 1174569529
Provider Name (Legal Business Name): MICHAEL H HANDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NEW GARDEN RD
GREENSBORO NC
27410-2722
US

IV. Provider business mailing address

1321 NEW GARDEN RD
GREENSBORO NC
27410-2722
US

V. Phone/Fax

Practice location:
  • Phone: 336-299-0099
  • Fax: 336-299-0080
Mailing address:
  • Phone: 336-299-0099
  • Fax: 336-299-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number200501321
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number200501321
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: