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1962933028

NPI Code Detail

MEDICARE: NICOLE PICCIRILLO TWEEDY I D.O.

MEDICARE: NICOLE PICCIRILLO TWEEDY I D.O.

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	2084N0400X	Neurology Physician	83724	SC
2	2084N0600X	Clinical Neurophysiology Physician	2022-01407	NC
3	2084N0600X	Clinical Neurophysiology Physician	83724	SC
4	2084N0400X	Neurology Physician	2022-01407	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	SCL2195019	OTHER	SC	MEDICARE PIN

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	:	1962933028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE PICCIRILLO TWEEDY I D.O.

Provider Business Mailing Address
First Line	:	509 BILTMORE AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4601
Country	:	US
Telephone Number	:	603-504-4638
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 BILTMORE AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4601
Country	:	US
Telephone Number	:	828-213-1111
Fax Number	:

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	02/27/2025

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Directions to “ NICOLE PICCIRILLO TWEEDY I D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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