Carolina Family Medicine & Wellness in Mooresville - Preferred Provider Organization

Carolina Family Medicine & Wellness - NPI 1912969106

Carolina Family Medicine & Wellness is a Preferred Provider Organization in Mooresville, North Carolina. Carolina Family Medicine & Wellness practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Carolina Family Medicine & Wellness is 1912969106. The last update date is 2020-08-22.

Carolina Family Medicine & Wellness's current location address is 478 Williamson Rd., Mooresville, North Carolina. You can contact this provider via phone number 7046623627 and fax number 7046623229. The mailing address for Carolina Family Medicine & Wellness is 478 Williamson Rd., Mooresville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Carolina Family Medicine & Wellness
Address 478 Williamson Rd., Mooresville, North Carolina
Phone Number 7046623627
Fax Number 7046623229
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Castillo R Alissandro
Credentials M.D.
Telephone Number 7046623627

NPI Number Detail

NPI Number 1912969106
Provider Enumeration Date 2006-04-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 478 Williamson Rd.
City Mooresville
State North Carolina (NC)
Post Code 271179109
Phone Number 7046623627
Fax Number 7046623229

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No 9900793
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89015VY NC --
015VY NC BLUE CROSS/BLUE SHIELD

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FAQs about Carolina Family Medicine & Wellness

What is the unique 10-digit identification code assigned to Carolina Family Medicine & Wellness by the Centers for Medicare & Medicaid Services?

The Carolina Family Medicine & Wellness has been issued the NPI (National Provider Identifier) 1912969106, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Carolina Family Medicine & Wellness?

The Carolina Family Medicine & Wellness is situated at 478 Williamson Rd., in the city of Mooresville, state of NC, with the zip code 271179109.

What is Carolina Family Medicine & Wellness's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Carolina Family Medicine & Wellness is Preferred Provider Organization, and the taxonomy code that categorizes this field of expertise is 305R00000X.

When was the Carolina Family Medicine & Wellness's 1912969106 issued?

The Carolina Family Medicine & Wellness's 1912969106 was issued on 2006-04-04.

As of what date was the information pertaining to Carolina Family Medicine & Wellness, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carolina Family Medicine & Wellness, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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