Healthcare Provider Details

I. General information

NPI: 1649578147
Provider Name (Legal Business Name): UNC PHYSICIANS NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 BROWNING PL SUITE 101
RALEIGH NC
27609-6508
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 919-781-9650
  • Fax:
Mailing address:
  • Phone: 919-804-5064
  • Fax: 919-804-5081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

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