Provider Demographics
NPI:1275596017
Name:VALENTI, MICHAEL ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARTHUR
Last Name:VALENTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:603 BEAMAN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2647
Mailing Address - Country:US
Mailing Address - Phone:910-592-8711
Mailing Address - Fax:910-592-6239
Practice Address - Street 1:603 BEAMAN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2647
Practice Address - Country:US
Practice Address - Phone:910-592-8711
Practice Address - Fax:910-592-6239
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800724208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911357Medicaid
NC8911357Medicaid
NC2253837AMedicare PIN