Healthcare Provider Details

I. General information

NPI: 1396174363
Provider Name (Legal Business Name): UNC PHYSICIANS NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2013
Last Update Date: 11/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 PAGE RD
PINEHURST NC
28374-8749
US

IV. Provider business mailing address

1600 PERIMETER PARK DR SUITE #225
MORRISVILLE NC
27560-8421
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-5511
  • Fax: 910-235-3421
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ROBERT LOUIS GIANFORCARO
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 919-804-5064