Provider Demographics
NPI:1164549911
Name:CONTOGIANNIS, MARY ANN C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:C
Last Name:CONTOGIANNIS
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 1:211 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2151
Mailing Address - Country:US
Mailing Address - Phone:336-333-9022
Mailing Address - Fax:336-333-9024
Practice Address - Street 1:211 STATE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2151
Practice Address - Country:US
Practice Address - Phone:336-333-9022
Practice Address - Fax:336-333-9024
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33014208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE82146Medicare UPIN