Carol Suddreth
Technician, Attendant Care Provider in Hickory, NC. Individual provider (NPI-1).
NPI number1336782838
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1336782838
- Entity type
- Individual (NPI-1)
- Name
- Carol Suddreth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
417 3rd Ave SeHickory, NC 28602-3850
Phone 828-461-9172
Mailing address
417 3rd Ave SeHickory, NC 28602-3850
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