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Contact Information

MICHAEL A MARCONI, OPA
3541 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC28211-2886
 Phone: 704-944-0143
 Fax: 704-944-7399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL A MARCONI · (Male)

NPI Number 1073879060
Status Active
Credentials OPA
Entity Individual
Enumeration date 04/04/2012
Last updated 04/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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