Healthcare Provider Details

I. General information

NPI: 1356426548
Provider Name (Legal Business Name): JAMES ANTHONY PALERMO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W FRIENDLY AVE
GREENSBORO NC
27403-1109
US

IV. Provider business mailing address

200 QUEENS RD STE 400
CHARLOTTE NC
28204-3264
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-1100
  • Fax: 336-832-0619
Mailing address:
  • Phone: 980-890-6063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number2002-00268
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: