Provider Demographics
NPI:1174569529
Name:HANDY, MICHAEL H (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:HANDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3515 W MARKET ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-4438
Mailing Address - Country:US
Mailing Address - Phone:336-299-0099
Mailing Address - Fax:336-299-0080
Practice Address - Street 1:1321 NEW GARDEN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2722
Practice Address - Country:US
Practice Address - Phone:336-299-0099
Practice Address - Fax:336-299-0080
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200501321207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141UROtherBCBS OF NC
NC5902890Medicaid
NC141UROtherBCBS OF NC
NC5902890Medicaid