Provider Demographics
NPI:1275501884
Name:COMPEGGIE, MICHAEL EMILIO (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:EMILIO
Last Name:COMPEGGIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 MERIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-7561
Mailing Address - Country:US
Mailing Address - Phone:910-327-0878
Mailing Address - Fax:
Practice Address - Street 1:1039 MERIDIAN DR
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460-7561
Practice Address - Country:US
Practice Address - Phone:910-327-0878
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054914207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology