Provider Demographics
NPI:1134296932
Name:ASWAD, MARGO A (MD)
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:A
Last Name:ASWAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 MCALISTER RD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092
Mailing Address - Country:US
Mailing Address - Phone:704-735-0511
Mailing Address - Fax:704-735-0544
Practice Address - Street 1:441 MCALISTER RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092
Practice Address - Country:US
Practice Address - Phone:704-735-0511
Practice Address - Fax:704-735-0544
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC97-01230208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY017R7OtherBCBS INDIVIDUAL NUMBER
NC891087RMedicaid
NY017R7OtherBCBS INDIVIDUAL NUMBER
G59063Medicare UPIN