Individual
MRS. PENNY C TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
Mailing address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C50033
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795578
—
NC
Enumeration date
03/18/2013
Last updated
05/22/2013
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