Provider Demographics
NPI:1578944476
Name:PASSINI, ANN MARIA (DO)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIA
Last Name:PASSINI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 603964
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3964
Mailing Address - Country:US
Mailing Address - Phone:843-789-1726
Mailing Address - Fax:843-402-5289
Practice Address - Street 1:200 CALLEN BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2808
Practice Address - Country:US
Practice Address - Phone:843-789-2289
Practice Address - Fax:843-606-8038
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2025-06-16
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Provider Licenses
StateLicense IDTaxonomies
IAR-10388207Q00000X
IAR-10767207Q00000X
IADO-05172207Q00000X
SC93899207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine