Individual
MR. ROGER CLEVELAND HOMESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFO CFTS
Contact information
Practice address
626 CENTER DR, LINCOLNTON, NC 28092-3712
(704) 735-2556
(704) 735-9045
Mailing address
PO BOX 368, 626 CENTER DRIVE, LINCOLNTON, NC 28093-0368
(704) 735-2556
(704) 735-9045
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO 03634
NC
225000000X
Orthotic Fitter
CFTS 1242
NC
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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