Michelle A Dattada (NPI# 1275773749, PAC ID# 6103015029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1275773749 |
PAC ID by PECOS | 6103015029 |
Professional Enrollment ID | I20110107000617 |
Full Name | Michelle A Dattada |
Address |
1776 Heritage Ctr Dr Suite 104 Wake Forest NC 27587-3977 |
Phone Number | 7324853956 |
Gender | F |
Graduation Year | 2007 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1776 Heritage Ctr Dr, Suite 104, Wake Forest, NC 27587-3977 | 7324853956 | |
1776 Heritage Ctr Dr, Wake Forest, NC 27587-3977 | 7324853956 |
Street Address |
1776 HERITAGE CTR DR SUITE 104 |
City | WAKE FOREST |
State | NC |
Zip | 27587-3977 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deborah Hupp | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
Subbulakshmi Settu | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
Kelly J Valencia | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
Jonne A Boone | Clinical Social Worker | 523 Wait Ave, Wake Forest, NC 27587-2727 | |
Corinne N Green | Psychologist, Clinical | Charis Foundation Inc | 536 Wait Ave, Wake Forest, NC 27587-2728 |
Robert Lewis Stuckey | Clinical Social Worker | Charis Foundation Inc | 536 Wait Ave, Wake Forest, NC 27587-2728 |
Lauren A Bridges | Clinical Social Worker | 158 S White St, Wake Forest, NC 27587-2740 | |
Adrienne M Sievert Rombach | Clinical Social Worker | Monarch | 350 E Holding Ave, Wake Forest, NC 27587-2904 |
Frank Bercik | Podiatry | 337 S White St, Wake Forest, NC 27587-2916 | |
Stephanie Erin Wenig | Chiropractic | K and S Wellness LLC | 610 Doctor Calvin Jones Hwy 104, Wake Forest, NC 27587-3100 |
Find all physicians in zip 27587 |
City | WAKE FOREST |
Zip Code | 27587 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | WAKE FOREST + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.