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NPI Code Detail

MEDICARE: DR. CHRISTINE CLAIRE ANNUNZIATA M.D.

MEDICARE: DR. CHRISTINE CLAIRE ANNUNZIATA M.D.
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
1207W00000XOphthalmology PhysicianMD37273SC
2207W00000XOphthalmology PhysicianA86457CA
3208200000XPlastic Surgery PhysicianMD37273SC
4208200000XPlastic Surgery Physician2012-00685NC
5207W00000XOphthalmology Physician2012-00685NC

General Provider Information

NPI Number : 1700809621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE CLAIRE ANNUNZIATA M.D.
Provider Business Mailing Address
First Line : 4101 CAMPUS RIDGE RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5077
Country : US
Telephone Number : 704-234-1930
Fax Number : 704-234-1940
Provider Business Practice Location Address
First Line : 4101 CAMPUS RIDGE RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5077
Country : US
Telephone Number : 704-234-1930
Fax Number : 704-234-1940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/11/2016

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