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Gina Louise Micchia, DO
Family Medicine Physician in Wake Forest, North Carolina
NPI 1548234347

Gina Louise Micchia is a Family Medicine Physician based in Charlotte, NC. Gina Louise Micchia practices in Wake Forest, NC and has the professional credentials of DO. The NPI Number for Gina Louise Micchia is 1548234347 and holds a License No. OS008792L (North Carolina).

The current practice location address for Gina Louise Micchia is 10500 Ligon Mill Rd, Wake Forest, NC and can be reached out via phone at 919-570-5705 and via fax at 919-570-5710.

Location: 10500 Ligon Mill Rd, Wake Forest, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548234347
Provider Name
Gina Louise Micchia
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10500 Ligon Mill Rd, Wake Forest, NC, 28260-0447
Phone Number
919-570-5705
Fax Number
919-570-5710
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142W6 01 NC BCBS
5905076 05 NC
011630820 05 PA
institution
Provider Business Practice Location Address Details
Address
10500 Ligon Mill Rd
City
Wake Forest
State
North Carolina
Zip
27587-6090
Phone Number
919-570-5705
Fax Number
919-570-5710
person
Provider Business Mailing Address Details
Address
10500 Ligon Mill Rd
City
Wake Forest
State
North Carolina
Zip
27587-6090
Phone Number
919-570-5705
Fax Number
919-570-5710
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2005-01657 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS008792L (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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