Jill Marie Antoniazzi, MD
Emergency Medicine in Charlotte, NC. Individual provider (NPI-1).
NPI number1043235591
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1043235591
- Entity type
- Individual (NPI-1)
- Name
- Jill Marie Antoniazzi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Apr 14, 2022
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 2008-00591 | NC | Yes |
Practice location
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-355-2171
Mailing address
Po Box 19305Charlotte, NC 28219-9305
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