Basic Information
Provider Information
NPI: 1225120199
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIORDANO
FirstName: CARA
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: NEMOURS CHILDRENS CLINIC
Address2: P.O. BOX 404112
City: ATLANTA
State: GA
PostalCode: 303840001
CountryCode: US
TelephoneNumber: 9043903610
FaxNumber: 9042885890
Practice Location
Address1: A.I. DUPONT HOSPITAL FOR CHILDREN
Address2: 1600 ROCKLAND ROAD
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514000
FaxNumber: 3026514945
Other Information
ProviderEnumerationDate: 09/29/2006
LastUpdateDate: 05/15/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XC50000432DEY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AS0400XC50000432DEN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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