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Augusto Jorge Cianciabella, PA
Surgical Physician Assistant in Charlotte, North Carolina
NPI 1093953838

Augusto Jorge Cianciabella is a Surgical Physician Assistant based in Charlotte, NC and is specialized in Surgical. Augusto Jorge Cianciabella practices in Charlotte, NC and has the professional credentials of PA. The NPI Number for Augusto Jorge Cianciabella is 1093953838 and holds a License No. (North Carolina).

The current practice location address for Augusto Jorge Cianciabella is 10502 Park Rd Ste 120, Charlotte, NC and can be reached out via phone at 704-702-3880.

Location: 10502 Park Rd Ste 120, Charlotte, NC, 28210-8490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093953838
Provider Name
Augusto Jorge Cianciabella
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
10502 Park Rd Ste 120, Charlotte, NC, 28210-8490
Phone Number
704-702-3880
Fax Number
Provider Enumeration Date
02/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9105911 01 FL LICENSE
Y06SS 01 FL BCBS FL
PA20179 01 CA CALIFORNIA LICENSE
institution
Provider Business Practice Location Address Details
Address
10502 Park Rd Ste 120
City
Charlotte
State
North Carolina
Zip
28210-8490
Phone Number
704-702-3880
Fax Number
person
Provider Business Mailing Address Details
Address
10502 Park Rd Ste 120
City
Charlotte
State
North Carolina
Zip
28210-8490
Phone Number
704-702-3880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA20179 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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