Individual
MRS. CONNIE C HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1161 PINKNEY RD NW, PIKEVILLE, NC 27863-8690
(919) 223-6844
Mailing address
1161 PINKNEY RD NW, PIKEVILLE, NC 27863-8690
(919) 223-6844
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
2019-6066-01
NC
175T00000X
Peer Specialist
Primary
2019606601
NC
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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