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1912901687

NPI Code Detail

MEDICARE: DR. CHERYL A VIGLIONE MD

MEDICARE: DR. CHERYL A VIGLIONE MD

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	2085N0904X	Nuclear Radiology Physician	26398	NC
2	2085R0202X	Diagnostic Radiology Physician	26398	NC
3	2085U0001X	Diagnostic Ultrasound Physician	26398	NC

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	:	1912901687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL A VIGLIONE MD

Provider Business Mailing Address
First Line	:	119 STAUNTON DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6064
Country	:	US
Telephone Number	:	336-852-3300
Fax Number	:	336-852-0651

Provider Business Practice Location Address
First Line	:	3801 W MARKET ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1301
Country	:	US
Telephone Number	:	336-852-3300
Fax Number	:	336-852-0651

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/08/2008

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Directions to “ DR. CHERYL A VIGLIONE MD” Practice Location

Language	Start Address	Practice Location

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