Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Fazzolare, PA-C

Individual provider Physician Assistant · NPI 1073332821

Madison Fazzolare, PA-C is a Physician Assistant in Prospect Hill, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

322 Main St
Prospect Hill, NC 27314-9438
Phone: (336) 562-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14607 (NC)

Record details

NPI number1073332821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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