Provider Demographics
NPI:1700809621
Name:ANNUNZIATA, CHRISTINE CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CLAIRE
Last Name:ANNUNZIATA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4101 CAMPUS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5077
Mailing Address - Country:US
Mailing Address - Phone:704-234-1930
Mailing Address - Fax:704-234-1940
Practice Address - Street 1:4101 CAMPUS RIDGE RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5077
Practice Address - Country:US
Practice Address - Phone:704-234-1930
Practice Address - Fax:704-234-1940
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2016-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCMD37273207W00000X, 208200000X
CAA86457207W00000X
NC2012-00685208200000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology