MEDICARE: CIARRA PHILIPP

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
1	231H00000X	Audiologist	30004652	NC

General Provider Information

NPI Number	:	1265302020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIARRA PHILIPP

Provider Business Mailing Address
First Line	:	8037 CORPORATE CENTER DR STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4550
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8037 CORPORATE CENTER DR STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4550
Country	:	US
Telephone Number	:	704-542-3339
Fax Number	:	877-655-9884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	04/06/2026

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Directions to “ CIARRA PHILIPP ” Practice Location

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