SearchNorth Carolina363A00000X

Brian Maieli, PA-C, ATC, CSCS

NPI 1700052297 · on the registry since 2008

Practice

Address
19485 Old Jetton Rd
Suite 210
Winston Salem, NC 27104
Phone
(704) 316-1830
Fax
(704) 316-1835

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina