Provider Demographics
NPI:1942997960
Name:ALTOPIANO MEDICAL PLLC
Entity Type:Organization
Organization Name:ALTOPIANO MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:CIARDI
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-391-4382
Mailing Address - Street 1:647 OLD HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-7452
Mailing Address - Country:US
Mailing Address - Phone:336-391-4382
Mailing Address - Fax:336-900-1426
Practice Address - Street 1:647 OLD HOOVER RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-7452
Practice Address - Country:US
Practice Address - Phone:336-391-4382
Practice Address - Fax:336-900-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty