Individual provider · NPI-1
Jeffrey Addy
Orthotic Fitter · Charlotte, NC
NPI number1649024886
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1649024886
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Addy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
Practice location
9835 Monroe RdCharlotte, NC 28270-1471
Phone 704-537-0909
Mailing address
9835 Monroe RdCharlotte, NC 28270-1471
Phone 704-537-0909
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