Individual
MR. GAROLD RAY MERRILL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 867-4960
Mailing address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 446-6280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5736
NC
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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