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NPI Code Detail

MEDICARE: ANTHONY SCHIAVONE

MEDICARE:   ANTHONY  SCHIAVONE
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1891329611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY SCHIAVONE
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5619 CAROLINA BEACH RD STE 120
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2815
Country : US
Telephone Number : 910-790-1976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2020
Last Update Date : 03/02/2020

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Directions to “ ANTHONY SCHIAVONE ” Practice Location

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