Green,karlita
Prosthetic/Orthotic Supplier in Fayetteville, NC. Organization (NPI-2).
NPI number1154777522
StatusActive
Last updated in NPPESMay 4, 2016
Details
- NPI
- 1154777522
- Entity type
- Organization (NPI-2)
- Legal business name
- Green,karlita
- Organization subpart
- No
- Enumeration date
- May 4, 2016
- Last updated
- May 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | 88486 | NC | Yes |
Practice location
1928 Abbeydale LnFayetteville, NC 28301-6600
Phone 910-920-7506 · Fax 910-676-8576
Mailing address
1928 Abbeydale LnFayetteville, NC 28301-6600
Phone 910-920-7506 · Fax 910-676-8576
Authorized official
Karlita Green
Owner
9109207506
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