Provider Demographics
NPI:1083855076
Name:DRIGO, DANA
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:DRIGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240152
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28224-0152
Mailing Address - Country:US
Mailing Address - Phone:704-200-1936
Mailing Address - Fax:
Practice Address - Street 1:3112 HEATHSTEAD PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-7176
Practice Address - Country:US
Practice Address - Phone:704-200-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management