MEDICARE: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

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	261QP2300X	Primary Care Clinic/Center
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861410755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

Provider Business Mailing Address
First Line	:	1600 PERIMETER PARK DR
Second Line	:	SUITE 225
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5317 HIGHGATE DR
Second Line	:	SUITE 117
City	:	DURHAM
State	:	NC
Zip	:	27713-6622
Country	:	US
Telephone Number	:	919-361-2644
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ROBERT LOUIS GIANFORCARO
Credential	:	DO
Telephone Number	:	919-804-5064

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	10/16/2013

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