Provider Demographics
NPI:1891993119
Name:D'INCOGNITO, CARMELLA FRANCES (DO)
Entity Type:Individual
Prefix:DR
First Name:CARMELLA
Middle Name:FRANCES
Last Name:D'INCOGNITO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10215 TRIANGLE PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6704
Mailing Address - Country:US
Mailing Address - Phone:602-615-3983
Mailing Address - Fax:
Practice Address - Street 1:10215 TRIANGLE PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6704
Practice Address - Country:US
Practice Address - Phone:602-615-3983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-08
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC173745207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine