DOMINIC E AGRESTA

CAROLINAS PHYSICIANS NETWORK, INC.

Dr DOMINIC E AGRESTA is a male medical professional, specializing in Physician Assistant. He graduated in 2008.

Contact

CAROLINAS PHYSICIANS NETWORK, INC.

119 MARKET PLACE AVE
SUITE D
MOORESVILLE
NC
281179157

Tel: 7048019140

DOMINIC E AGRESTA Information

Npi 1093962045
Pac Id 8729104799
Professional Enrollment Id I20100927001491
Last Name AGRESTA
First Name DOMINIC
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CAROLINAS PHYSICIANS NETWORK, INC.
Group Practice Pac Id 3375449655
Number Of Group Practice Members 1123
Line 1 Street Address 119 MARKET PLACE AVE
Line 2 Street Address SUITE D
Marker Of Address Line 2 Suppression
City MOORESVILLE
State NC
Zip Code 281179157
Phone Number 7048019140
Hospital Affiliation Ccn 1 340113
Hospital Affiliation Lbn 1 CAROLINAS MEDICAL CENTER/BEHAV HEALTH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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