Doctor Name: | DR. MARK ANDREW MESSICK |
NPI Number: | 1437204872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101236884 |
Business Practice Address: | 77 Vilcom Cir Suite 200 Chapel Hill, NC - 275141788 |
Business Phone Number: | 9199428500 |
Business Fax Number: | 9199333816 |
Mailing Address: | Po Box 751274, CHARLOTTE |
State: | NC |
Postal Code: | 282751274 |
Phone Number: | 9196204467 |
Fax Number: | 9196204921 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101236884 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |