Basic Information
| Provider Information | |||||||||
| NPI: | 1316359847 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIAZZA | ||||||||
| FirstName: | NICHOLAS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 MACNIDER HL | ||||||||
| Address2: | CAMPUS BOX 7005 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664468 | ||||||||
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| Practice Location | |||||||||
| Address1: | 125 MACNIDER HL | ||||||||
| Address2: | CAMPUS BOX #7005 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664468 | ||||||||
| FaxNumber: | 9198435945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2014 | ||||||||
| LastUpdateDate: | 04/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 202429 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.