Healthcare Provider Details

I. General information

NPI: 1861483844
Provider Name (Legal Business Name): CLAUDIU ADRIAN CIMPEAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 11/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 LEXINGTON AVE SUITE A
THOMASVILLE NC
27360-3494
US

IV. Provider business mailing address

PO BOX 890355
CHARLOTTE NC
28289-0355
US

V. Phone/Fax

Practice location:
  • Phone: 336-475-7148
  • Fax: 336-475-7031
Mailing address:
  • Phone: 336-716-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20020020
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: