| The Azzato Clinic, Pllc | |
|
1513 N Howe St Ste 4 Southport NC 28461-2770 | |
| (910) 454-8030 | |
| (910) 363-4827 |
| Full Name | The Azzato Clinic, Pllc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1513 N Howe St Ste 4, Southport, North Carolina |
| Authorized Official Name and Position | John A Azzato (PROVIDER/OWNER) |
| Authorized Official Contact | 9104548030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Azzato Clinic, Pllc Po Box 11515 Southport NC 28461-1515 Ph: (910) 454-8030 | The Azzato Clinic, Pllc 1513 N Howe St Ste 4 Southport NC 28461-2770 Ph: (910) 454-8030 |
| NPI Number | 1639990260 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639990260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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