Healthcare Provider Details
I. General information
NPI: 1851558100
Provider Name (Legal Business Name): DAVID PIERRE ABRAHAM MICHEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/22/2008
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10010 FALLS OF NEUSE RD
RALEIGH NC
27614-8494
US
IV. Provider business mailing address
PO BOX 603949
CHARLOTTE NC
28260-3949
US
V. Phone/Fax
- Phone: 919-235-6454
- Fax:
- Phone: 919-350-0351
- Fax: 919-350-7687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | C1-0010065 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 2015-00099 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: