MEDICARE: DANIEL AVERY PIERCE

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	207X00000X	Orthopaedic Surgery Physician	2022-01622	NC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	2022-01622	NC

General Provider Information

NPI Number	:	1932562154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL AVERY PIERCE

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7210 VILLAGE MEDICAL CIR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8029
Country	:	US
Telephone Number	:	336-893-2400
Fax Number	:	336-893-2410

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

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	03/24/2026

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Directions to “ DANIEL AVERY PIERCE ” Practice Location

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