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NPI Code Detail

MEDICARE: ALLISON ANNE SPAGNOLETTI P.A.

MEDICARE: ALLISON ANNE SPAGNOLETTI P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant101771NC

General Provider Information

NPI Number : 1134199938
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ANNE SPAGNOLETTI P.A.
Provider Business Mailing Address
First Line : PO BOX 1845
Second Line :
City : STATESVILLE
State : NC
Zip : 28687-1845
Country : US
Telephone Number : 704-873-4277
Fax Number : 704-978-3549
Provider Business Practice Location Address
First Line : 124 SAMARITANS RIDGE RD
Second Line :
City : ELKIN
State : NC
Zip : 28621-2452
Country : US
Telephone Number : 336-835-7700
Fax Number : 336-527-1071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 06/01/2026

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